Kaiyu Atsumi
Individual provider Active NPI Athletic Trainer · Cape Girardeau, MO
NPI 1871472910 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1871472910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1 University PLZ
Cape Girardeau, MO 63701-4710 - Phone
- (573) 651-2000
- NPI assigned
- Sep 2, 2025
- Sex
- Male
- 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
1 University PLZ
Cape Girardeau, MO 63701-4710
Mailing address
804 Angela Dr
Scott City, MO 63780-1602
Phone (573) 225-1154
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All providers in Cape Girardeau, MO · Athletic Trainer in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. 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.