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Individual
SARINA KYLE
Active
Individual
SARINA KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1708 - 39
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1708 - 39
WISCONSIN LICENSE
WI
01
—
2000019268
NATA CERTIFICATION
—
Enumeration date
08/20/2015
Last updated
08/20/2015
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