Individual
KAITLYN RENEE PETRYSZYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2001D PARKFIELD CT # D, CRAWFORDSVILLE, IN 47933-3294
(607) 222-0932
Mailing address
255 PARK AVE, BINGHAMTON, NY 13903-3628
(607) 771-0343
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003513A
IN
Other
Enumeration date
01/15/2022
Last updated
01/15/2022
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