Individual
KATELYN STICKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3150 HULL RD, SUITE 140E, GAINESVILLE, FL 32611-2061
(352) 273-2439
Mailing address
833 LANDER RD, MAYFIELD VILLAGE, OH 44143-3245
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4159
FL
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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