Kayla Bidus, AT, ATC
Individual provider Active NPI Athletic Trainer · Washington, MI
NPI 1992247100 · NPPES record last updated Aug 20, 2023
Key facts
- NPI
- 1992247100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2601001813 (MI)
- Practice address
- 3601 31 Mile Rd
Washington, MI 48095-1014 - Phone
- (810) 706-3374
- NPI assigned
- Nov 7, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2601001813 | MI | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601001813 | MI | Yes |
Addresses
Primary practice location
3601 31 Mile Rd
Washington, MI 48095-1014
Mailing address
3601 31 Mile Rd
Washington, MI 48095-1014
Phone (810) 706-3374
Other providers in Washington, MI
- Daniel Balon
- Ahmad Jamal Bazzi
- Martin Edward Beaulac
- Julie Ann Berger
- Bettermind Wellness LLC
- Timothy James Blanchet
- Joseph Bono
- Katie Ann Brubaker
- Rebecca Elizabeth Bussell
- Brett W Butler
All providers in Washington, MI · Athletic Trainer in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2023. 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.