Individual
MRS. KAYLA BIDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
3601 31 MILE RD, WASHINGTON, MI 48095-1014
(810) 706-3374
Mailing address
3601 31 MILE RD, WASHINGTON, MI 48095-1014
(810) 706-3374
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001813
MI
Other
Enumeration date
11/07/2016
Last updated
08/20/2023
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