MISS Kyra Busque, LAT ATC
NPI #1780120550 in South Hadley, Massachusetts
Provider Information
- NPI Number
- 1780120550
- Entity Type
- Individual
- Name
- MISS Kyra Busque, LAT ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT ATC
- Enumeration Date
- Jan 17, 2017
- Last Updated
- Jan 17, 2017
Practice Location
- Address
- 50 COLLEGE ST
- Address 2
- KENDALL DANCE AND SPORTS COMPLEX ROOM 126A
- City
- South Hadley
- State
- Massachusetts
- ZIP Code
- 01075-1423
- Phone
- (413) 538-3316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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