Individual
CAITLYN RICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
17828 SW STATE RD, FORT WHITE, FL 32038
(262) 308-1944
Mailing address
9834 33RD CT, PLEASANT PRAIRIE, WI 53158-5701
(262) 308-1944
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3915
FL
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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