Miss Kyra Busque, LAT ATC
Specialist/Technologist, Athletic Trainer in South Hadley, Massachusetts
1780120550- Practice location
- 50 College St, Kendall Dance And Sports Complex Room 126A, South Hadley, MA 01075-1423
- Phone
- 413-538-3316
- Fax
- —
- Last updated
- January 17, 2017
Kyra Busque is a Specialist/Technologist, Athletic Trainer based in South Hadley, MA. Kyra Busque practices in South Hadley, MA and has the professional credentials of LAT ATC. The NPI Number for Kyra Busque is 1780120550 and holds a License No. 2934 (MA). The current practice location address for Kyra Busque is 50 College St, Kendall Dance And Sports Complex Room 126A, South Hadley, MA 01075-1423 and can be reached out via phone at 413-538-3316.
Provider Profile Details
- NPI Number
- 1780120550
- Provider Name
- Kyra Busque
- Credential
- LAT ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 50 College St, Kendall Dance And Sports Complex Room 126A, South Hadley, MA 01075-1423
- Phone Number
- 413-538-3316
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 17, 2017
- Last Update Date
- January 17, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 College St
Kendall Dance And Sports Complex Room 126A
South Hadley, MA 01075-1423 - City
- South Hadley
- State
- Massachusetts
- Zip
- 01075-1423
- Phone Number
- 413-538-3316
Provider Business Mailing Address Details
- Address
- 4 Dobson RD
Vernon, CT 06066-5430 - City
- Vernon
- State
- CT
- Zip
- 06066-5430
- Phone Number
- 860-888-2789
License Information
- License Number
- 2934
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miss Kyra Busque, LAT ATC?
The NPI number of Miss Kyra Busque, LAT ATC is 1780120550. It was assigned on January 17, 2017 and is currently active in the NPPES registry.
What is the specialty of Miss Kyra Busque, LAT ATC?
Miss Kyra Busque, LAT ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2934.
Where does Miss Kyra Busque, LAT ATC practice?
The practice location is 50 College St, Kendall Dance And Sports Complex Room 126A, South Hadley, MA 01075-1423. The office can be reached at 413-538-3316 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780120550 directly on the NPPES registry website.