Individual
KYLE WILLIAM WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
4600 4TH ST N, SAINT PETERSBURG, FL 33703-3802
(727) 527-5272
Mailing address
2737 12TH ST N, SAINT PETERSBURG, FL 33704-2643
(727) 623-1503
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5723
FL
Other
Enumeration date
10/24/2018
Last updated
07/19/2021
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