Individual
KISHA T ADADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RYT 200 TRAINING
Contact information
Practice address
1285 SWAMP RD SE, TOWNSEND, GA 31331-4235
(912) 424-4643
Mailing address
1285 SWAMP RD SE, TOWNSEND, GA 31331-4235
(912) 424-4643
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
394581
GA
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
394581
GA
373H00000X
Day Training/Habilitation Specialist
394581
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
394581
YOGA ALLIANCE
—
Enumeration date
02/02/2023
Last updated
02/02/2023
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