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

Lyle Keith Wilson, MMQ

Individual provider Athletic Trainer · NPI 1649094392

Lyle Keith Wilson, MMQ is an Athletic Trainer in Toledo, Oregon. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1073 Pioneer Mountain Loop
Toledo, OR 97391-9780
Phone: (214) 546-4427
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1649094392
Entity typeIndividual (Type 1)
GenderMale
Credentials MMQ
Sole proprietorYes
NPI enumeratedNovember 11, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 10, 2024