Individual provider · Type 1 NPI

Kayla Blazine

Student in an Organized Health Care Education/Training Program · Crowley, TX

NPI number 1336073881 Active

Practice location

10850 Texan Rider Dr
Crowley, TX 76036-9414

Mailing address

216 Shumer Shuffle Dr Apt 1303
Fort Worth, TX 76140-8716

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336073881

Kayla Blazine's National Provider Identifier is 1336073881, issued on Jun 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Crowley, TX. The record was last updated on Jun 10, 2026.