Individual
KAITLYN WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 MARTIN LUTHER KING BLVD, HOUSTON, TX 77204-3067
(713) 743-2255
Mailing address
3692 HASKELL HOLLOW LOOP, COLLEGE STATION, TX 77845-5315
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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