Kyle McCuskey, ATC
Specialist/Technologist, Athletic Trainer in Alexandria, VA. Individual provider (NPI-1).
NPI number1982159216
StatusActive
Last updated in NPPESAug 12, 2021
Details
- NPI
- 1982159216
- Entity type
- Individual (NPI-1)
- Name
- Kyle McCuskey
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2016
- Certification date
- Aug 12, 2021
- Last updated
- Aug 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 0126003148 | VA | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1796 | MN | |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2849 | MN |
Practice location
1200 N Quaker LnAlexandria, VA 22302-3004
Phone 703-933-4089
Mailing address
1200 N Quaker LnAlexandria, VA 22302-3004
Phone 703-933-4089
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