Individual
KYLE R SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
1110 7TH AVE, CUMBERLAND, WI 54829-9138
(715) 822-6167
Mailing address
1265 WEBB ST, APT 2, CUMBERLAND, WI 54829-8506
(610) 470-6082
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1263-039
WI
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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