Taz Hunter Kicklighter, MS, ATC Valid NPI

Individual provider · Athletic Trainer · Waleska, GA

NPI

1629207964

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

628 (GA)

Sex

Male

Sole proprietor

Yes

Enumerated

2009-07-08

Last updated

2009-07-08