Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYAUNA SIU-SHU SOUTHAM, MAT, ATC
ActiveKYAUNA SIU-SHU SOUTHAM, MAT, ATC is a Athletic Trainer healthcare provider located in ONTARIO, California. NPI 1083247621 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ONTARIO, CA
Registration Details
- NPI Number
- 1083247621
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2020 (6.4697138965379 yrs)
- Last Updated
- May 16, 2023
Practice Information
- Address
-
3351 INLAND EMPIRE BLVD APT 17GONTARIO, CA, 917644863Browse CA providers · Browse ZIP 91764
- Phone
- 4252417281
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in ONTARIO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. JERRY EDWARD CAVENDER II | ATC | 1003871666 |
| AMBER MARIE MCKEE | ATC | 1841794351 |
| MARIA VERONICA HEARD | MS | 1063917458 |
| JANNA RAYTON | — | 1174099089 |
| CARISSA LEWALLEN | ATC | 1144884677 |
| DANIEL BELVARIAN BUNHARDI | ATC | 1992577522 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.