Individual
KAYLA DAWN CRISSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
200 I ST NE, MIAMI, OK 74354-6434
(918) 540-6323
Mailing address
200 I ST NE, MIAMI, OK 74354-6434
(918) 540-6323
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1134
OK
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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