Individual
LATYA HURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
640 DR MARY MCLEOD BETHUNE BLVD, DAYTONA BEACH, FL 32114-3012
(386) 481-2000
Mailing address
3103 STRATA CT, SUFFOLK, VA 23434-7265
(757) 943-2677
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
T64731834
VA
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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