NPI 1023421542

Kim Small, ATC

Practitioner Athletic Trainer Long Branch, NJ

Practice location

Address: 404 Indiana Ave Athletics Department, Long Branch, NJ 07740-6122
Phone: (732) 229-7300

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 25MT00187400 (NJ)

Other Specialist/Technologist providers in New Jersey →

Registry record

NPI: 1023421542
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jun 2014
Record last updated: 9 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.