Individual
KAYLA PAIGE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
814 SCOTT ST, MEMPHIS, TN 38112-1925
(901) 320-8754
Mailing address
612 HOME ST, MARKED TREE, AR 72365-2605
(870) 615-3464
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
310587
LA
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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