Individual
KYLE DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
1600 EDGE WOOD CT APT A, PLATTEVILLE, WI 53818-9632
(630) 201-2366
Mailing address
1600 EDGE WOOD CT APT A, PLATTEVILLE, WI 53818-9632
(630) 201-2366
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2440-39
WI
Other
Enumeration date
02/06/2020
Last updated
05/12/2022
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