Kayla Bittle
Individual provider Active NPI Athletic Trainer · Missoula, MT
NPI 1013671924 · NPPES record last updated Oct 26, 2021
Key facts
- NPI
- 1013671924
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 32 Campus Dr McGill Hall 205
Missoula, MT 59812-0001 - Phone
- (360) 739-5676
- NPI assigned
- Oct 26, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
32 Campus Dr McGill Hall 205
Missoula, MT 59812-0001
Mailing address
775 Wyoming St Apt 214
Missoula, MT 59801-2060
Phone (360) 739-5676
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BITTLKJ990J | Other | WA | DRIVERS LICENSE |
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.