Kyle Zuber, LAT, ATC
Individual provider Active NPI Athletic Trainer · Bremen, IN
NPI 1144813593 · NPPES record last updated Feb 17, 2021
Key facts
- NPI
- 1144813593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 36002999A (IN)
- Practice address
- 511 W Grant St
Bremen, IN 46506-1600 - Phone
- (574) 248-1982
- NPI assigned
- Feb 17, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36002999A | IN | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36002999A | IN | Yes |
Addresses
Primary practice location
511 W Grant St
Bremen, IN 46506-1600
Mailing address
304 N East St
Bremen, IN 46506-1220
Phone (574) 361-9326
Other providers in Bremen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.