Individual
MS. KRISTY LYNN LIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.C
Contact information
Practice address
619 W TUSCOLA ST, FRANKENMUTH, MI 48734-1433
(989) 239-3381
Mailing address
619 W TUSCOLA ST, FRANKENMUTH, MI 48734-1433
(989) 239-3381
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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