Individual
KAYLA MACINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, EMT-B
Contact information
Practice address
73 SOUTHERN BLVD, DANBURY, CT 06810
(203) 744-1510
Mailing address
73 SOUTHERN BLVD, DANBURY, CT 06810-7994
(203) 744-1510
(203) 744-1275
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
22885
CT
2255A2300X
Athletic Trainer
Primary
1084
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000018481
NATIONAL ATHLETIC TRAINERS ASSOCIATION - BOARD OF CERTIFICATION
CT
01
—
22885
EMT-B
CT
Enumeration date
03/05/2015
Last updated
02/24/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us