Individual
KAITLIN SHIMOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
STEGEMAN COLISEUM, 100 SMITH STREET, ATHENS, GA 30602-0001
(706) 542-6521
Mailing address
BUTTS-MEHRE HERITAGE HALL, 1 SELIG CIRCLE, ATHENS, GA 30602
(706) 542-6521
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002480
GA
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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