TAZ KICKLIGHTER, MS, ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1629207964
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 628 (GA) |
Frequently Asked Questions
NPI 1629207964 is the National Provider Identifier for TAZ KICKLIGHTER, MS, ATC, a Specialist/Technologist - Athletic Trainer provider located in Waleska, GA. This NPI was enumerated on July 8, 2009.
TAZ KICKLIGHTER, MS, ATC practices at 7300 REINHARDT COLLEGE CIR, Waleska, GA 30183.
Quick Facts
- NPI
- 1629207964
- Type
- Individual
- Enumerated
- Jul 8, 2009
- Last Updated
- Jul 8, 2009
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