Individual
KAITLIN HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC/L
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11877
WI
2251S0007X
Sports Physical Therapist
11877
WI
2255A2300X
Athletic Trainer
1222
WI
Other
Enumeration date
01/05/2015
Last updated
01/25/2020
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