IndividualActive
Kyra Busque, LAT ATC
NPI 1780120550 · Athletic Trainer · South Hadley, MA
Provider details
- NPI number
- 1780120550
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2934 (MA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
50 College St
Kendall Dance and Sports Complex Room 126a
South Hadley, MA 01075-1423
Phone: (413) 538-3316
Street-level locationGet directions
Mailing address
4 Dobson Rd
Vernon, CT 06066-5430
Registry dates
- Enumerated
- 2017-01-17
- Last updated
- 2017-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.