Individual
KAYLA EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSAT. ATC
Contact information
Practice address
2855 PINECREEK DR APT F126, COSTA MESA, CA 92626-5488
(760) 670-8145
Mailing address
2855 PINECREEK DR APT F126, COSTA MESA, CA 92626-5488
(760) 670-8145
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000039935
ATC
CA
Enumeration date
07/17/2020
Last updated
07/17/2020
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