Individual
KAITLIN CHRASTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
4500 STUART ST, COLUMBIA, SC 29207-5700
(803) 751-2160
Mailing address
224 BLANDING ST UNIT 106, COLUMBIA, SC 29201-2299
(763) 772-7020
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2813
MN
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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