IndividualActive
Kylie Mccusker, MS, LAT, ATC
NPI 1558049361 · Athletic Trainer · Smyrna, DE
Provider details
- NPI number
- 1558049361
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- J3-0010890 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
271 Garrisons Cir
Smyrna, DE 19977-1832
Phone: (302) 480-6491
Approximate (ZIP-level) locationGet directions
Mailing address
271 Garrisons Cir
Smyrna, DE 19977-1832
Registry dates
- Enumerated
- 2023-07-11
- Last updated
- 2023-07-11
- Certified
- 2023-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.