National Provider Identifier

Kailey Marin Collins, ATC

Kailey Marin Collins, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (845) 217-7027.

NPI 1063181097Ithaca, NYAthletic Trainer

Profile Overview

NPI
1063181097
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
September 13, 2021
Last Updated
September 21, 2023

Practice Location

  • 953 Danby RD
  • Ithaca, NY 14850-7002

Phone: (845) 217-7027

Mailing Address

  • 200 Blue Mountain RD
  • Saugerties, NY 12477-3554

Specialties

  • Athletic Trainer (2255A2300X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1063181097
Entity Type
Individual
Last Name
Collins
First Name
Kailey
Middle Name
Marin
Credential
ATC
Mailing Street Address
200 Blue Mountain RD
Mailing City
Saugerties
Mailing State
NY
Mailing ZIP Code
12477-3554
Mailing Country
US
Mailing Phone
(845) 217-7027
Practice Street Address
953 Danby RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-7002
Practice Country
US
Practice Phone
(845) 217-7027
Enumeration Date
September 13, 2021
Last Updated
September 21, 2023
Sex
Female
Sole Proprietor
No
Certification Date
September 21, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X), Student in an Organized Health Care Education/Training Program (390200000X)