Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE JONATHAN OTTENBACHER, ATC
ActiveKYLE JONATHAN OTTENBACHER, ATC is a Athletic Trainer healthcare provider located in SILVERDALE, Washington. NPI 1508380072 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SILVERDALE, WA
Registration Details
- NPI Number
- 1508380072
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2017 (9.0358384658841 yrs)
- Last Updated
- Dec 11, 2018
Practice Information
- Address
-
9414 RIDGETOP BLVD NW STE 106SILVERDALE, WA, 983838526Browse WA providers · Browse ZIP 98383
- Phone
- 3602862647
- Fax
- 3602862652
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SILVERDALE, WA
| Name | Credential | NPI |
|---|---|---|
| MR. CHRISTOPHER L HIATT | ATC | 1336156504 |
| MRS. BETH ANN WOLFE | BA, ATC | 1780709352 |
| MCKALEB POOL | — | 1437773033 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.