Individual
KAITLIN ELIZABETH KNEISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C
Contact information
Practice address
535 IRVING SCHOTTENSTEIN DR, COLUMBUS, OH 43210-1044
(614) 292-1165
Mailing address
5605 BLUE LAGOON LN, HILLIARD, OH 43026-9039
(248) 921-6891
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.003752
OH
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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