KYLE WIEBESIEK

SIOUX FALLS, SD
NPI1144434838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SD  0185)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
Mr. KYLE WIEBESIEK ATC
810 E 23RD ST
SIOUX FALLS, SD 57105-2135
Phone number: 605-977-6845
Mailing Address
Mr. KYLE WIEBESIEK ATC
1312 S RISLEY CIR
SIOUX FALLS, SD 57106-3326
Phone number: 605-977-3843