Individual
KALETTE NICOLE HITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC
Contact information
Practice address
2120 STATE ROUTE 49, ARCANUM, OH 45304-9441
(937) 673-8989
Mailing address
2120 STATE ROUTE 49, ARCANUM, OH 45304-9441
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.08798
OH
2255A2300X
Athletic Trainer
AT. 002635
OH
Other
Enumeration date
03/16/2007
Last updated
12/05/2012
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