Individual
KAITLYN PAIGE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3608 CLARY AVE, FORT WORTH, TX 76111-4818
(817) 584-0910
Mailing address
3608 CLARY AVE, FORT WORTH, TX 76111-4818
(817) 584-0910
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8084
TX
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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