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KYAUNA SIU-SHU SOUTHAM MAT, ATC
NPI 1083247621
Specialist/Technologist - Athletic Trainer in Ontario, CA

Active since February 21, 2020
3351 INLAND EMPIRE BLVD APT 17G, ONTARIO, CA 91764(425) 241-7281 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 16, 2023, Feb 21, 2020 (2 updates tracked since 2020).

About Kyauna Siu-shu Southam Mat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYAUNA SIU-SHU SOUTHAM MAT, ATC (NPI 1083247621) is an individual athletic trainer provider in Ontario, California and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1083247621
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKYAUNA SIU-SHU SOUTHAMCredential: MAT, ATC
Location Address3351 INLAND EMPIRE BLVD APT 17GOntario, CA 91764-4863
Mailing Address13110 Ne 177th Pl # 433Woodinville, WA 98072-5740 · (425) 241-7281
Phone(425) 241-7281
Sole ProprietorNo
Enumeration DateFebruary 21, 2020
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1083247621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3351 INLAND EMPIRE BLVD APT 17G, Ontario, CA 91764
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyauna Southam's NPI number?

The NPI number for Kyauna Southam is 1083247621. It was assigned to this individual provider in the NPPES registry on February 21, 2020.

Where is Kyauna Southam located?

Kyauna Southam practices at 3351 Inland Empire Blvd Apt 17G, Ontario, CA 91764. The listed phone number is (425) 241-7281.

What is Kyauna Southam's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kyauna Southam was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.