Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE DIEDRICH KUTSUP, ATC, LAT
ActiveKYLE DIEDRICH KUTSUP, ATC, LAT is a Athletic Trainer healthcare provider located in SPARTA, New Jersey. NPI 1730840141 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SPARTA, NJ
Registration Details
- NPI Number
- 1730840141
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2022 (4.5584886618343 yrs)
- Last Updated
- Jan 7, 2022
- License
-
25MT00184400 (NJ)
Practice Information
- Address
-
35 CONESTOGA TRLSPARTA, NJ, 078712507Browse NJ providers · Browse ZIP 07871
- Phone
- 9734607708
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SPARTA, NJ
| Name | Credential | NPI |
|---|---|---|
| SEAN ANTHONY TRUESDELL | ATC | 1841576170 |
| LUANN SENSALE | — | 1669854378 |
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.