Individual
KAITLIN MARIE RICKLEFS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
400 ATLANTIC CHRISTIAN COL DR NE, WILSON, NC 27893-2505
(252) 399-6363
(252) 399-6516
Mailing address
PO BOX 5000, WILSON, NC 27893-7000
(515) 835-7085
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3225
NC
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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