Provider Demographics
NPI:1033502471
Name:KEMPEL, SKYLAR (MS, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:SKYLAR
Middle Name:
Last Name:KEMPEL
Suffix:
Gender:M
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 MARTEL AVE APT 12A
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5651
Mailing Address - Country:US
Mailing Address - Phone:214-244-0466
Mailing Address - Fax:
Practice Address - Street 1:5200 MARTEL AVE APT 12A
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5651
Practice Address - Country:US
Practice Address - Phone:214-244-0466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT55342255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer