Individual
KRISTEN PAULIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4635 WOODWARD AVE, DOWNERS GROVE, IL 60515-2632
(630) 880-3303
Mailing address
4635 WOODWARD AVE, DOWNERS GROVE, IL 60515-2632
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2019
Last updated
04/14/2021
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