# KAITLIN MARY FULTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1700409950
- **Gender:** F
- **Credential:** PT, DPT, LAT, ATC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT028351 | PA | — |
| 2255A2300X | Athletic Trainer | 004955 | NY | Yes |
| 2255A2300X | Athletic Trainer | RT008198 | PA | — |

## Other

- **Enumeration date:** 05/22/2020
- **Last updated:** 07/29/2025