Individual
KAITLYN FRANCIS HERWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
206 PAGE AVE, JACKSON, MI 49201-2418
(517) 930-2508
Mailing address
4029 FRANCIS ST, JACKSON, MI 49203-5435
(517) 930-2508
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001815
MI
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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