Individual
NOELLE KAMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
206 PAGE AVE, JACKSON, MI 49201-2418
(517) 783-6670
Mailing address
1218 RUNAWAY BAY DR APT 3B, LANSING, MI 48917-8749
(586) 907-8144
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/11/2021
Last updated
06/28/2022
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