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NPI Code Detail

MEDICARE: KYLER ASHTON AT, ATC

MEDICARE:   KYLER  ASHTON  AT, 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 TrainerAT005327OH

General Provider Information

NPI Number : 1831628452
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLER ASHTON AT, ATC
Provider Business Mailing Address
First Line : 2211 OLD DUBLIN RD UNIT 448
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-2097
Country : US
Telephone Number : 937-570-8320
Fax Number :
Provider Business Practice Location Address
First Line : 2211 OLD DUBLIN RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-1690
Country : US
Telephone Number : 937-570-8320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2017
Last Update Date : 07/22/2022

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Directions to “ KYLER ASHTON AT, ATC” Practice Location

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