Individual
KAYLA JODE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 N 2ND ST W, MISSOULA, MT 59802-2918
(208) 304-1137
Mailing address
616 N 2ND ST W, MISSOULA, MT 59802-2918
(208) 304-1137
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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