Individual
MISS KAITLYN ELIZABETH HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DENT DR, LEWISBURG, PA 17837
(570) 577-1706
Mailing address
1 DENT DR, LEWISBURG, PA 17837-2029
(570) 577-1706
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005279
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31024
NATA
—
Enumeration date
03/06/2014
Last updated
09/18/2019
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