Individual
MR. KYLE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
3300 W CAMELBACK RD, PHOENIX, AZ 85017-3030
(412) 605-8765
Mailing address
18183 W DESERT BLOSSOM DR, GOODYEAR, AZ 85338-5118
(412) 605-8765
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-009462
AZ
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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