Individual
KYLE GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.T.
Contact information
Practice address
231 GARFIELD DR, GRAND JUNCTION, CO 81503-2972
(970) 433-2667
Mailing address
231 GARFIELD DR, GRAND JUNCTION, CO 81503-2972
(970) 433-2667
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1411
AZ
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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