Individual
KAILEY BROOKE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 JACKSON AVE UNIT 4305, TUSCALOOSA, AL 35401-8420
(915) 471-6020
Mailing address
6195 TRANQUIL DESERT DR, EL PASO, TX 79912-7496
(915) 471-6020
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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