Individual
MRS. DANIELLE MARIE KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, CSCS
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9377
Mailing address
3621 POST OAK AVE, NEW ORLEANS, LA 70131-8407
(970) 690-9107
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
309424
LA
226300000X
Kinesiotherapist
AT3710
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012761196
DL
LA
01
—
070602125
BOC
—
Enumeration date
09/22/2006
Last updated
10/07/2022
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