Mr. Kyle Fuller, ATC, LAT
Specialist/Technologist, Athletic Trainer in Springfield, Massachusetts
1942948567- Practice location
- 1215 Wilbraham RD, Springfield, MA 01119-2612
- Phone
- 413-345-8746
- Fax
- —
- Last updated
- May 24, 2022
Kyle Fuller is a Specialist/Technologist, Athletic Trainer based in Springfield, MA. Kyle Fuller practices in Springfield, MA and has the professional credentials of ATC, LAT. The NPI Number for Kyle Fuller is 1942948567 and holds a License No. 3388 (MA). The current practice location address for Kyle Fuller is 1215 Wilbraham RD, Springfield, MA 01119-2612 and can be reached out via phone at 413-345-8746.
Provider Profile Details
- NPI Number
- 1942948567
- Provider Name
- Kyle Fuller
- Credential
- ATC, LAT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1215 Wilbraham RD, Springfield, MA 01119-2612
- Phone Number
- 413-345-8746
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 24, 2022
- Last Update Date
- May 24, 2022
- Certification Date
- May 24, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1215 Wilbraham RD
Springfield, MA 01119-2612 - City
- Springfield
- State
- Massachusetts
- Zip
- 01119-2612
- Phone Number
- 413-345-8746
Provider Business Mailing Address Details
- Address
- 53 Segur Ln
Belchertown, MA 01007-9307 - City
- Belchertown
- State
- MA
- Zip
- 01007-9307
License Information
- License Number
- 3388
- 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 Mr. Kyle Fuller, ATC, LAT?
The NPI number of Mr. Kyle Fuller, ATC, LAT is 1942948567. It was assigned on May 24, 2022 and is currently active in the NPPES registry.
What is the specialty of Mr. Kyle Fuller, ATC, LAT?
Mr. Kyle Fuller, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 3388.
Where does Mr. Kyle Fuller, ATC, LAT practice?
The practice location is 1215 Wilbraham RD, Springfield, MA 01119-2612. The office can be reached at 413-345-8746 (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 1942948567 directly on the NPPES registry website.