MR. WILTEY RUSSELL KENDLE (NPI# 1265637177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265637177 |
| Entity Type | Individual |
| Full Name | MR. WILTEY RUSSELL KENDLE |
| Credential | ATC |
| Practice Address |
228 17th Ave Nw Great Falls MT 59404-1807 |
| Mailing Address |
118 Woodland Estates Rd Great Falls MT 59404-6405 |
| Practice Telephone | 4062686223 |
| Mailing Telephone | 4064539030 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
228 17TH AVE NW |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59404-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972577484 | Sydney P Blair | Social Worker | 228 17th Ave Nw, Center for Mental Health/cmr High School, Great Falls, MT 59404-1807 | 2006-02-14 |
| 1538380555 | Christi Virts | Specialist/Technologist | 228 17th Ave Nw, Great Falls, MT 59404-1807 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504154 | Shawna Renee Applegate | Nurse Practitioner | 115 4th St S., Great Falls, MT 59404 | 2017-05-03 |
| 1093267213 | Cara Firman | Counselor | 3300 3rd St Ne, Great Falls, MT 59404 | 2016-11-04 |
| 1457803900 | Benjamin Huempfner | Counselor | 1205 1st Ave Nw, Great Falls, MT 59404 | 2016-11-01 |
| 1649675471 | Stephen Trautman | Pharmacist | 1000 3rd Steet Nw, Great Falls, MT 59404 | 2014-10-22 |
| 1457765851 | Complete Eye Care Pllc | Optometrist | 1012 1st Ave Nw, Great Falls, MT 59404 | 2014-06-13 |
| 1871923714 | William Joshu | Physician Assistant | 25 14th Avenue N.w., Great Falls, MT 59404 | 2013-11-13 |
| 1679839369 | Joelene Sharon (o'neill) Goodover | Counselor | 803 Forest Ave., Great Falls, MT 59404 | 2012-04-06 |
| 1942512728 | Amy Jo Jamieson | Counselor | 600 Ave. A, Valley View School, Great Falls, MT 59404 | 2010-07-08 |
| 1942527890 | Matthew Clayton Taecker | Emergency Medicine | 113 38th Ave Ne, Great Falls, MT 59404 | 2010-04-30 |
| 1720212897 | Dana Marie Thompson | Military Health Care Provider | 819 Rhs/sg, 6944 Goddard Drive, Malmstrom Afb, MT 59404 | 2009-05-05 |
| Find all providers in zip 59404 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750869699 | Teayre Klosterman | Specialist/Technologist | 212 7th St N, Great Falls, MT 59401-2410 | 2018-08-02 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1871043620 | Morgan Umphres | Specialist/Technologist | 115 Smelter Ave Ne Ste 104, Great Falls, MT 59404-1963 | 2016-10-05 |
| 1912350679 | Jaime Erin Mccafferty Huestis | Specialist/Technologist | 624 3rd St S Ste 2, Great Falls, MT 59405-1838 | 2016-07-18 |
| 1649300336 | Christine M. Kelly | Specialist/Technologist | 1914 1st Ave. S., Great Falls, MT 59401 | 2007-03-06 |
| 1831226554 | Shawn Allen Ruff | Specialist/Technologist | 3109 6th Ave N, 1900 2nd Ave South, Great Falls, MT 59401-2113 | 2007-02-28 |
| 1679059000 | Courtney Jean Rayfield | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405-4934 | 2018-07-18 |
| 1003309550 | Monica Thackeray | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405-4934 | 2018-06-10 |
| 1417187774 | Meagan Renae Macdonald | Specialist/Technologist | 500 15th Ave S, Sports Medicine, Great Falls, MT 59405-4304 | 2009-07-21 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.