Individual
KAITLYN ALYSSA CROEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC, CES
Contact information
Practice address
60 SHILOH RD, TUSCULUM, TN 37745-0595
(262) 948-9867
Mailing address
413 VOLUNTEER ST APT 303, GREENEVILLE, TN 37745-5183
(262) 948-9867
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3102
TN
Other
Enumeration date
11/07/2022
Last updated
07/11/2023
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