Individual
KURT WILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, AT
Contact information
Practice address
215 5TH ST, MARIETTA, OH 45750-4033
(740) 376-4514
(740) 376-4405
Mailing address
215 5TH ST, MARIETTA, OH 45750-4033
(740) 376-4514
(740) 376-4405
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003062
OH
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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