Kayla Schaunaman, ATC

Individual provider Active NPI Athletic Trainer · Statesboro, GA

NPI 1124538418 · NPPES record last updated Oct 2, 2017

Key facts

NPI
1124538418
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AT003139 (GA)
Practice address
590 Herty Dr
Statesboro, GA 30458
Phone
(912) 478-5302
NPI assigned
Oct 2, 2017
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

State licenses

LicenseStateTypeSpecialty
AT003139GAMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT003139 GA Yes

Addresses

Primary practice location

590 Herty Dr
Statesboro, GA 30458

Mailing address

2000 Stambuk LN Apt 114
Statesboro, GA 30458-2584
Phone (605) 216-3539

Other providers in Statesboro, GA

All providers in Statesboro, GA · Athletic Trainer in Georgia

Sources for this page

Verify at the official NPI Registry.