IndividualActive
Kayle Wiseman, CTRS
NPI 1083290126 · Recreation Therapist · Waterloo, NE
Provider details
- NPI number
- 1083290126
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS
- Sex
- Female
- Sole proprietor
- No
- License
- 81878 (NE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
800 N Front St Ste 15
Waterloo, NE 68069-2250
Phone: (402) 669-3197
Approximate (ZIP-level) locationGet directions
Mailing address
800 N Front St Ste 15
Waterloo, NE 68069-2250
Registry dates
- Enumerated
- 2021-03-19
- Last updated
- 2021-03-19
- Certified
- 2021-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.