Individual
KRISTOPHER W. BASGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSS, ATC/L, EMT
Contact information
Practice address
5623 PULPIT PEAK VW, COLORADO SPRINGS, CO 80918-3954
(803) 834-9934
Mailing address
5623 PULPIT PEAK VW, COLORADO SPRINGS, CO 80918-3954
(803) 834-9934
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001634
CO
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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