Individual
KYLE MCCUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1200 N QUAKER LN, ALEXANDRIA, VA 22302-3004
(703) 933-4089
Mailing address
1200 N QUAKER LN, ALEXANDRIA, VA 22302-3004
(703) 933-4089
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003148
VA
2255A2300X
Athletic Trainer
1796
MN
2255A2300X
Athletic Trainer
2849
MN
Other
Enumeration date
08/16/2016
Last updated
08/12/2021
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