Individual
KYLEE CODY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
781 N VALLEY VIEW DR APT 64, ST GEORGE, UT 84770-5098
(435) 772-2258
Mailing address
781 N VALLEY VIEW DR APT 64, ST GEORGE, UT 84770-5098
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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