Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAZ HUNTER KICKLIGHTER, MS, ATC
Active Sole ProprietorTAZ HUNTER KICKLIGHTER, MS, ATC is a Athletic Trainer healthcare provider located in WALESKA, Georgia. NPI 1629207964 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WALESKA, GA
Registration Details
- NPI Number
- 1629207964
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2009 (17.06023591473 yrs)
- Last Updated
- Jul 8, 2009
- License
-
628 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7300 REINHARDT COLLEGE CIRWALESKA, GA, 301832981Browse GA providers · Browse ZIP 30183
- Phone
- 7707209226
- Fax
- 7707205622
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WALESKA, GA
| Name | Credential | NPI |
|---|---|---|
| KATHERINE THERESA DELCONTIVO | MA, ATC, LAT | 1083911861 |
| KELLEN SHERVINGTON | A.T.C., L.A.T | 1326456989 |
| MRS. ASHLEY LAUREN WOLARY | ATC, LAT | 1275941825 |
| STEPHANIA MEDINA | ATC, LAT | 1396153748 |
| TAMANTHA WOFFORD | M.ED, ATC/L | 1891181822 |
| ASHLEY PERDUE | LAT, ATC | 1205394889 |
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.