Individual
KAITLYN TYMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC. LAT
Contact information
Practice address
251 N MAIN ST, CEDARVILLE, OH 45314-8501
(908) 399-2802
Mailing address
254 S ALLISON AVE, XENIA, OH 45385-3626
(908) 399-2802
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006973
OH
Other
Enumeration date
04/18/2023
Last updated
08/05/2024
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