Individual
KAYLA RENEE EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
10529 S RIVE RIDGE LOOP, FORT DRUM, NY 13602
(315) 774-8155
Mailing address
102 N 3RD ST, HUGHESVILLE, PA 17737-1904
(570) 419-1072
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007216
PA
Other
Enumeration date
12/17/2021
Last updated
12/01/2022
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