Individual
KAITLIN TORTORICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
63501 FISH HATCHERY RD, LACOMBE, LA 70445-4909
(985) 264-6810
Mailing address
5620 READ BLVD, NEW ORLEANS, LA 70127-3106
(504) 592-6600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
304398
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y18636479
UNITEDHEALTHCARE
LA
Enumeration date
10/16/2017
Last updated
10/16/2017
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