Individual
MS. KAYLEIGH DE KOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
401 N 4TH ST, TERRE HAUTE, IN 47809-1934
(808) 651-3042
Mailing address
101 CRAWFORD ST APT 407, TERRE HAUTE, IN 47807-4657
(423) 331-8848
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003900A
IN
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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