Individual
KAITLIN CROCKETT CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LMT
Contact information
Practice address
5747 MEMORIAL GYM, ORONO, ME 04469-5747
(207) 581-4288
(207) 581-4474
Mailing address
5747 MEMORIAL GYM, ORONO, ME 04469-5747
(207) 581-4288
(207) 581-4474
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT483
ME
225700000X
Massage Therapist
—
ME
Other
Enumeration date
08/11/2017
Last updated
07/21/2022
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