NPI 1306364997

Kyle James Domin

Practitioner Athletic Trainer Fayette, IA

Practice location

Address: 605 Washington Street, Fayette, IA 52142
Phone: (630) 418-8352
Mailing address: 605 Washington St, Fayette, IA 52142-9206

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Iowa →

Registry record

NPI: 1306364997
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Sep 2017
Record last updated: 2 Sep 2017

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.