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

Individual provider Athletic Trainer · NPI 1508380072

Kyle Jonathan Ottenbacher, ATC is an Athletic Trainer in Silverdale, Washington. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

9414 Ridgetop Blvd NW Ste 106
Silverdale, WA 98383-8526
Phone: (360) 286-2647
Fax: (360) 286-2652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1508380072
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 27, 2017
Last updated in NPPESDecember 11, 2018
Mailing address1200 Corporate Dr Ste 400, Birmingham, AL 35242-5424

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