Individual
KYLE WINIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4924 CAMPBELL BLVD STE 130A, NOTTINGHAM, MD 21236-5909
(847) 530-1266
Mailing address
4551 WEST GAVIN LANE, LIBERTYVILLE, IL 60048
(847) 530-1266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28982
MD
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
05/03/2017
Last updated
03/01/2023
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