Individual
KAYLA HASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 CLAIBORNE LN, LEBANON, IN 46052-3907
(317) 987-2701
Mailing address
913 CLAIBORNE LN, LEBANON, IN 46052-3907
(317) 987-2701
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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