Individual
KAYLA ZENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
3811 SPRING ST, SUITE 102, RACINE, WI 53405
(262) 687-5838
(262) 687-5895
Mailing address
4050 LIGHTHOUSE DR, RACINE, WI 53402-3114
(262) 752-2603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1388-39
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1388-39
STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
03/25/2014
Last updated
04/20/2023
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