Individual
CAITLIN ASHLEY MACKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA,LAT,ATC
Contact information
Practice address
501 S MAIN ST, OLD FORGE, PA 18518-1541
(570) 457-4099
(570) 457-7205
Mailing address
501 S MAIN ST, OLD FORGE, PA 18518-1541
(570) 457-4099
(570) 457-7205
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE011301
PA
2255A2300X
Athletic Trainer
RTO00154
PA
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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