Kyra Dodson
Individual provider Active NPI Athletic Trainer · Sandy Ridge, NC
NPI 1346657657 · NPPES record last updated Jul 18, 2014
Key facts
- NPI
- 1346657657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1182 Phillips Rd
Sandy Ridge, NC 27046-7101 - Phone
- (336) 618-6271
- NPI assigned
- Jul 18, 2014
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | SC | Yes |
Addresses
Primary practice location
1182 Phillips Rd
Sandy Ridge, NC 27046-7101
Mailing address
1182 Phillips Rd
Sandy Ridge, NC 27046-7101
Phone (336) 618-6271
Other providers in Sandy Ridge, NC
- Healing Hands Wellness & Rejuvenation, PLLC
- Sierra A Hubbard
- Routes Speech Therapy PLLC
- Amber Williamson
All providers in Sandy Ridge, NC · Athletic Trainer in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2014. 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.