Kyauna Siu-Shu Southam, MAT, ATC
Kyauna Siu-Shu Southam, MAT, ATC is an Athletic Trainer in Ontario, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
- Specialties on file
- 3
What do these letters mean?
- ATC — Certified Athletic Trainer
- Prevents and treats sport and activity injuries.
Practice location Address checks out
3351 Inland Empire Blvd Apt 17GOntario, CA 91764-4863
Phone: (425) 241-7281
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X (CA) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1083247621 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MAT , ATC |
| Sole proprietor | No |
| NPI enumerated | February 21, 2020 |
| Last updated in NPPES | May 16, 2023 |
| Certification date | May 16, 2023 |
Other providers in Ontario
-
Maria Veronica Heard, MS
740 E Princeton St, Ontario, CA 91764 · (909) 230-2657
-
Carissa Lewallen, ATC
614 E J St, Ontario, CA 91764-2820 · (909) 576-6427
-
Amber Marie McKee, ATC
931 W Philadelphia St, Ontario, CA 91762-6218 · (909) 573-7474
-
Janna Rayton
1360 E D St Apt 3E, Ontario, CA 91764-4051 · (800) 945-2000
-
Mackenna Ryann Taylor
2918 Tuolumne Pl, Ontario, CA 91761-0707 · (909) 609-4572