Individual
KAYLA REDKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
350 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49503-4656
(616) 456-8515
Mailing address
207 S LOCUST ST, WAYLAND, MI 49348-1309
(612) 581-9771
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2515
MN
Other
Enumeration date
09/17/2014
Last updated
01/17/2021
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