Sarina Kyle, LAT, ATC

Individual provider Active NPI Athletic Trainer · Arpin, WI

NPI 1083080352 · NPPES record last updated Aug 20, 2015

Key facts

NPI
1083080352
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
1708 - 39 (WI)
Practice address
8774 County Rd N
Arpin, WI 54410-9715
Phone
(262) 215-8382
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1708 - 39WIMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1708 - 39 WI Yes

Addresses

Primary practice location

8774 County Rd N
Arpin, WI 54410-9715

Mailing address

8774 County Rd N
Arpin, WI 54410-9715

Other identifiers

IdentifierTypeStateIssuer
1708 - 39OtherWIWISCONSIN LICENSE
2000019268OtherNATA CERTIFICATION

Other providers in Arpin, WI

All providers in Arpin, WI · Athletic Trainer in Wisconsin

Sources for this page

Verify at the official NPI Registry.