Individual
KAYLA BITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CAMPUS DR MCGILL HALL 205, MISSOULA, MT 59812-0001
(360) 739-5676
Mailing address
775 WYOMING ST APT 214, MISSOULA, MT 59801-2060
(360) 739-5676
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BITTLKJ990J
DRIVERS LICENSE
WA
Enumeration date
10/26/2021
Last updated
10/26/2021
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