IndividualActive
Hailey Kimball
NPI 1083102099 · Student in an Organized Health Care Education/Training Program · Broken Arrow, OH
Provider details
- NPI number
- 1083102099
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7251 South 301st East Avenue
Broken Arrow, OH 74014
Phone: (918) 645-6525
Approximate (ZIP-level) locationGet directions
Mailing address
7251 South 301st East Avenue
Broken Arrow, OH 74014
Registry dates
- Enumerated
- 2018-04-25
- Last updated
- 2018-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.