Individual
KACEY CALABRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
LOUISIANA STATE UNIVERSITY, BATON ROUGE, LA 70803-0001
(815) 440-8758
Mailing address
873 E EQUESTRIAN POINTE DR, OREGON, IL 61061-9488
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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