Kayla Astin Anderson
Specialist/Technologist, Athletic Trainer in Succasunna, NJ. Individual provider (NPI-1).
NPI number1396258596
StatusActive
Last updated in NPPESNov 9, 2017
Details
- NPI
- 1396258596
- Entity type
- Individual (NPI-1)
- Name
- Kayla Astin Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2017
- Last updated
- Nov 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 25MT00243600 | NJ | Yes |
Practice location
47 Mapledale AveSuccasunna, NJ 07876-1643
Phone 973-896-5358
Mailing address
47 Mapledale AveSuccasunna, NJ 07876-1643
Phone 973-896-5358
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