| NPI | 1922550227 |
|---|---|
| Former Name | KAYLA CHRISTINE YATES SQUIRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: CO AT.0000931) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2019-08-05 |