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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KAYLA LYNN FIVEASH, ATC

Active Sole Proprietor

KAYLA LYNN FIVEASH, ATC is a Athletic Trainer healthcare provider located in FAYETTEVILLE, Tennessee. NPI 1508486630 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · FAYETTEVILLE, TN

Registration Details

NPI Number
1508486630
Provider Type
Individual
Gender
Female
NPI Issued
Apr 18, 2020 (6.2881600670703 yrs)
Last Updated
May 18, 2023
Licenses
2385 (TN)
36003559A (IN)
Sole Proprietor
Yes

Practice Information

Address
1816 HUNTSVILLE HWY
FAYETTEVILLE, TN, 373343787
Browse TN providers · Browse ZIP 37334
Phone
9312285585
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in FAYETTEVILLE, TN

Name Credential NPI
JOSHUA MEADOWS AT 1457801011
MR. BENNETT ALEXANDER PAGE 1639615578
KYLE CRAVEY M.S., LAT, ATC 1457818486
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.