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Contact Information

KAYLE A WISEMAN, CTRS
800 N FRONT ST STE 15
WATERLOO, NE68069-2250
 Phone: 402-669-3197
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Recreation Therapist

225800000X
Indicates primary specialty

NPI Profile & details for KAYLE A WISEMAN · (Female)

NPI Number 1083290126
Status Active
Credentials CTRS
Entity Individual
Enumeration date 03/19/2021
Last updated 03/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 81878
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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