Individual
KAYLA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
35 VALENTINE LN, HIGHLAND, IL 62249-1009
(618) 791-5219
Mailing address
35 VALENTINE LN, HIGHLAND, IL 62249-1009
(618) 791-5219
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096005710
IL
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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