Individual
KAITLYN BASANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 CLINTON ST, WATERBURY, CT 06710-1220
(860) 996-1796
Mailing address
136 CLINTON ST, WATERBURY, CT 06710-1220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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