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

Individual provider Athletic Trainer · NPI 1700580701

Kyle Jordan Frerking, LAT, ATC is an Athletic Trainer in Maryville, Missouri. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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.

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Practice location Address checks out

800 University Dr
Maryville, MO 64468-6001
Phone: (816) 783-7179
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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 number1700580701
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedMarch 27, 2023
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

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