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Individual

MR. KYLE THOMAS STANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 625-7373
(206) 583-6459
Mailing address
1309 NW 85TH ST, SEATTLE, WA 98117-4218
(206) 265-1977

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/28/2007
Last updated
07/08/2007
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