Individual
KYLIE L YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1000 E UNIVERSITY AVE, DEPARTMENT 3414, LARAMIE, WY 82071-2000
(307) 766-2305
Mailing address
1000 E UNIVERSITY AVE, DEPARTMENT 3414, LARAMIE, WY 82071-2000
(307) 766-2305
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
062
WY
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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