Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyle Eric Bishop, LAT, ATC, BS

Individual provider Athletic Trainer · NPI 1417581455

Kyle Eric Bishop, LAT, ATC, BS is an Athletic Trainer in Wentzville, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2020
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

754 Luetkenhaus Blvd
Wentzville, MO 63385-3515
Phone: (636) 445-5001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2021027368 (MO)

Record details

NPI number1417581455
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC , BS
Sole proprietorYes
NPI enumeratedFebruary 28, 2020
Last updated in NPPESDecember 30, 2021
Certification dateJune 18, 2021

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