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

MISS KYRA BUSQUE, LAT ATC

Active Sole Proprietor

MISS KYRA BUSQUE, LAT ATC is a Athletic Trainer healthcare provider located in SOUTH HADLEY, Massachusetts. NPI 1780120550 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SOUTH HADLEY, MA

Registration Details

NPI Number
1780120550
Provider Type
Individual
Gender
Female
NPI Issued
Jan 17, 2017 (9.5315219712468 yrs)
Last Updated
Jan 17, 2017
License
2934 (MA)
Sole Proprietor
Yes

Practice Information

Address
50 COLLEGE ST
KENDALL DANCE AND SPORTS COMPLEX ROOM 126A
SOUTH HADLEY, MA, 010751423
Browse MA providers · Browse ZIP 01075
Phone
4135383316
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in SOUTH HADLEY, MA

Name Credential NPI
PETER OLSEN ATC 1720053457
MICHAEL STEPHEN DION MS, ATC, LAT, PES 1841785623
ERICA SCHULMAN LAT, ATC 1265990592
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.