Individual
KEVIN RAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C
Contact information
Practice address
400 SW 258TH ST, NEWBERRY, FL 32669-4112
(352) 472-1101
Mailing address
400 SW 258TH ST, NEWBERRY, FL 32669-4112
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
36002333A
IN
2255A2300X
Athletic Trainer
Primary
AL4144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36002333A
L.A.T
IN
01
—
AL 4144
FLORIDA BOARD OF ATHLETIC TRAINING
FL
Enumeration date
10/26/2014
Last updated
07/20/2015
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