Kyle Fuller, ATC, LAT

Athletic Trainer · Springfield, MA

Individual Active NPI

NPI number 1942948567

Practice location

1215 Wilbraham Rd
Springfield, MA 01119-2612
Phone
(413) 345-8746

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NPI record

NPI
1942948567
Entity type
Individual (Type 1)
Enumeration date
May 24, 2022
Last updated
May 24, 2022
Certified
May 24, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 3388 MA

Mailing address

53 Segur Ln
Belchertown, MA 01007-9307

About Kyle Fuller

Kyle Fuller, ATC, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1215 Wilbraham Rd, Springfield, MA 01119-2612. The NPI number 1942948567 was assigned on May 24, 2022 and the record was last updated on May 24, 2022.

Kyle Fuller lists a license in the registry: #3388 (MA) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kyle Fuller, ATC, LAT?

The NPI number is 1942948567.

What is the phone number of Kyle Fuller?

The phone number listed for the practice location is (413) 345-8746.

Where is Kyle Fuller located?

1215 Wilbraham Rd, Springfield, MA 01119-2612.

What is the taxonomy code for Kyle Fuller?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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