Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Kyra Busque, LATATC

Individual provider Athletic Trainer · NPI 1780120550

Miss. Kyra Busque, LATATC is an Athletic Trainer in South Hadley, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2017

Practice location Address checks out

50 College St Kendall Dance And Sports Complex Rm 126A
South Hadley, MA 01075-1423
Phone: (413) 538-3316
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2934 (MA)

Record details

NPI number1780120550
Entity typeIndividual (Type 1)
GenderFemale
Credentials LATATC
Sole proprietorYes
NPI enumeratedJanuary 17, 2017
Last updated in NPPESJanuary 17, 2017

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