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NPI Code Detail

MEDICARE: KAYLA MAJOR ATC

MEDICARE:   KAYLA  MAJOR  ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1063934172
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA MAJOR ATC
Provider Business Mailing Address
First Line : 701 OAKLAND AVE
Second Line :
City : ROCK HILL
State : SC
Zip : 29730-3525
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 701 OAKLAND AVE
Second Line :
City : ROCK HILL
State : SC
Zip : 29730-3525
Country : US
Telephone Number : 219-688-7831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2017
Last Update Date : 03/17/2018

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Directions to “ KAYLA MAJOR ATC” Practice Location

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