Provider Demographics
NPI:1891140281
Name:ZEISZLER, KYLE (CMT ATC)
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:
Last Name:ZEISZLER
Suffix:
Gender:M
Credentials:CMT ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 GARY AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-9999
Mailing Address - Country:US
Mailing Address - Phone:701-391-1215
Mailing Address - Fax:
Practice Address - Street 1:31 NAVAHO AVE
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-4812
Practice Address - Country:US
Practice Address - Phone:701-391-1215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist