Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYLE KEITH WILSON, MMQ
Active Sole ProprietorLYLE KEITH WILSON, MMQ is a Athletic Trainer healthcare provider located in TOLEDO, Oregon. NPI 1649094392 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · TOLEDO, OR
Registration Details
- NPI Number
- 1649094392
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2024 (1.7326071868164 yrs)
- Last Updated
- Nov 11, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1073 PIONEER MOUNTAIN LOOPTOLEDO, OR, 973919780Browse OR providers · Browse ZIP 97391
- Phone
- 2145464427
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.