KYLEE RAE SPARKS

INDIANAPOLIS, IN
NPI1730546763
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  AT006053)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-01-21
Last Update Date2019-10-08
Business Address
Miss KYLEE RAE SPARKS ATC
8259 HOLMARD PL
INDIANAPOLIS, IN 46259-7719
Phone number: 317-771-9492
Mailing Address
Miss KYLEE RAE SPARKS ATC
8259 HOLMARD PL
INDIANAPOLIS, IN 46259-7719
Phone number: 317-771-9492