Individual
MISS KAYLI MARIE RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6601 SW 49TH TER, MIAMI, FL 33155-6100
(786) 219-8187
Mailing address
6601 SW 49TH TER, MIAMI, FL 33155-6100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
06/19/2019
Last updated
08/12/2021
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