Individual
MISS KAYLA MAE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1435 VILLAGE DR, DEPT. 2801, OGDEN, UT 84408-5150
(801) 626-6000
Mailing address
7 OXBOW CREEK LN, LAGUNA HILLS, CA 92653-6404
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
05/09/2016
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