Individual
KASEY FISETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
712 HAYTER ST, NACOGDOCHES, TX 75962-3100
(936) 596-6780
Mailing address
273 PACER ST, ZWOLLE, LA 71486-4058
(936) 596-6780
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8383
TX
2255A2300X
Athletic Trainer
—
KY
Other
Enumeration date
01/29/2019
Last updated
07/11/2022
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