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Individual

KAYTEE LYNN BERSTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3201 S LOOP 256, PALESTINE, TX 75801-6901
(903) 723-0330
Mailing address
625 PAPILLON RD, UNIT 20, BULLARD, TX 75757
(319) 899-6191

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
AT7952
TX
225400000X
Rehabilitation Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2000035187
ATHLETIC TRAINING BOARD OF CERTIFICATION
TX
01
AT7952
TEXAS DEPARTMENT OF LICENSURE
TX
Enumeration date
05/15/2021
Last updated
05/15/2021
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