Individual
KYRA BALIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W HAWTHORNE RD, SPOKANE, WA 99251-2515
(509) 777-1000
Mailing address
636 E MAGNESIUM RD, SPOKANE, WA 99208-7313
(360) 584-3572
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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