MR. KYLE LYNN MABRY (NPI# 1215988001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215988001 |
| Entity Type | Individual |
| Full Name | MR. KYLE LYNN MABRY |
| Credential | ATC |
| Practice Address |
275 Lithia Way Ashland OR 97520 |
| Mailing Address |
Po Box 1214 Phoenix OR 97535 |
| Practice Telephone | 5414826748 |
| Mailing Telephone | 5415121606 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-AT-1000469 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
275 LITHIA WAY |
| City | ASHLAND |
| State | OR |
| Zip Code | 97520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831168491 | Michael James Siegl | Physical Therapist | 275 Lithia Way, Ashland, OR 97520 | 2006-03-16 |
| 1891909297 | Ashland Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 275 Lithia Way, Ashland, OR 97520-1920 | 2007-05-09 |
| 1770518979 | Ashland Physical Therapy Limited Partnership | Physical Therapist | 275 Lithia Way, Ashland, OR 97520-1920 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
| 1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
| 1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
| 1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
| 1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
| 1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
| 1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
| 1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
| 1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
| Find all providers in zip 97520 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962900803 | Emily Unkefer | Specialist/Technologist | 1116 Columbus Cir N, Ashland, OH 44805-4516 | 2018-01-25 |
| 1689182099 | Courtney Ellen Turner | Specialist/Technologist | 1464 Eagle Way, Ashland, OH 44805-8941 | 2018-01-19 |
| 1730542093 | Kristyn Krohn | Specialist/Technologist | 242 E Walnut St, Ashland, OH 44805-3255 | 2016-04-03 |
| 1386002525 | Evan Chandra | Specialist/Technologist | 69 Shore Rd, Ashland, MA 01721-1927 | 2016-02-02 |
| 1831555929 | Heather Lynn Bauby | Specialist/Technologist | 103 E Patrick St, Ashland, VA 23005-1646 | 2016-01-06 |
| 1639535990 | Jacob Digmann | Specialist/Technologist | 201 S Mountain Ave, Ashland, OR 97520-2165 | 2016-01-01 |
| 1073978581 | Lindsay Nicole Mazur | Specialist/Technologist | 371 Bridge St Apt 2, Ashland, OR 97520-3905 | 2015-12-28 |
| 1114311859 | Kyle E Willard | Specialist/Technologist | 1941 Euclid St, Ashland, NE 68003-1216 | 2015-03-19 |
| 1083951933 | Christopher Lee Garrett | Specialist/Technologist | 12449 W Patrick Henry Rd, Ashland, VA 23005-3152 | 2013-01-12 |
| 1043423007 | Dennis Michael Gruber | Specialist/Technologist | 916 King Road, Ashland University, Ashland, OH 44805 | 2007-05-07 |
| Find all providers in ASHLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.