Kyle T Ebersole, PHD, ATC, LAT

NPI #1972637858 in Urbana, Illinois

Provider Information

NPI Number
1972637858
Entity Type
Individual
Name
Kyle T Ebersole, PHD, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
PHD, ATC, LAT
Enumeration Date
Mar 15, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
DEPT OF KINES & COM HLTH, FREER HALL 209, MC-052
Address 2
UNIVERSITY OF ILLINOIS
City
Urbana
ZIP Code
61801
Phone
(217) 333-9517

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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