Individual
KATHLEEN MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC, LAT, CSCS
Contact information
Practice address
121 GALE LEMERAND DR, GAINESVILLE, FL 32611-2051
(352) 692-6402
Mailing address
PO BOX 14485, GAINESVILLE, FL 32604-2485
(352) 692-6402
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/13/2010
Last updated
11/03/2015
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