Individual
KYLA RIKKI WARDALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
11200 SW 8TH ST, MIAMI, FL 33199-2516
(305) 348-2000
Mailing address
1005 JOE DIMAGGIO DR, HOLLYWOOD, FL 33021-5402
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL17142
FL
Other
Enumeration date
07/21/2021
Last updated
07/11/2024
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