Individual
MRS. KELLY ANNE BULTEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, ATC/L, CES
Contact information
Practice address
4349 E HAVEN LN, TUCSON, AZ 85712-5473
(319) 551-4941
Mailing address
3219 W CALLE DE MANZANILLO, TUCSON, AZ 85742
(319) 551-4941
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1204
AZ
Other
Enumeration date
09/12/2013
Last updated
04/19/2016
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