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KYLE ERIC BISHOP LAT,ATC,BS
NPI 1417581455
Specialist/Technologist - Athletic Trainer in Wentzville, MO

Active since February 28, 2020
754 LUETKENHAUS BLVD, WENTZVILLE, MO 63385(636) 445-5001 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2021, Feb 28, 2020 (2 updates tracked since 2020).

About Kyle Eric Bishop Lat,atc,bs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE ERIC BISHOP LAT,ATC,BS (NPI 1417581455) is an individual athletic trainer provider in Wentzville, Missouri, licensed in Missouri (2021027368) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1417581455
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameKYLE ERIC BISHOPCredential: LAT,ATC,BS
Location Address754 LUETKENHAUS BLVDWentzville, MO 63385-3515
Mailing Address3812 Hopewell RdWentzville, MO 63385-5924 · (636) 887-6674
Phone(636) 445-5001
Sole ProprietorYes
Enumeration DateFebruary 28, 2020
Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration
NPPES CertifiedJune 18, 2021
✔ NPI 1417581455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MO · 2021027368
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
754 LUETKENHAUS BLVD, Wentzville, MO 63385
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AXES PHYSICAL THERAPY, LLC
Prosthetic/Orthotic Supplier
754 LUETKENHAUS BLVD
WENTZVILLE, MO 63385
St. Charles County (636) 206-4225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Bishop's NPI number?

The NPI number for Kyle Bishop is 1417581455. It was assigned to this individual provider in the NPPES registry on February 28, 2020.

Where is Kyle Bishop located?

Kyle Bishop practices at 754 Luetkenhaus Blvd, Wentzville, MO 63385. The listed phone number is (636) 445-5001.

What is Kyle Bishop's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kyle Bishop was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.