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

Mr. Kyle Fuller, ATC, LAT

Individual provider Athletic Trainer · NPI 1942948567

Mr. Kyle Fuller, ATC, LAT is an Athletic Trainer in Springfield, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2022.

Licensed in
MA
In the registry since
2022
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1215 Wilbraham Rd
Springfield, MA 01119-2612
Phone: (413) 345-8746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 3388 (MA)

Record details

NPI number1942948567
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedMay 24, 2022
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022
Mailing address53 Segur Ln, Belchertown, MA 01007-9307

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