Individual
KYLIE MARIE IZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/LAT
Contact information
Practice address
2511 ROSE ST, BOZEMAN, MT 59718-7518
(406) 670-6159
Mailing address
2511 ROSE ST, BOZEMAN, MT 59718-7518
(406) 670-6159
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
728
MT
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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