Individual
MS. MCKENNA KRISTINE BACHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, CSCS, CISSN
Contact information
Practice address
MOODY AIR FORCE BASE, VALDOSTA, GA 31605
(772) 480-8696
Mailing address
414 MIDVALE TER, SEBASTIAN, FL 32958-6622
(772) 480-8696
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003525
GA
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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