Individual
KIRSTIE NICOLE MENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 COLLEGE DR, GAFFNEY, SC 29340-3778
(806) 577-1472
Mailing address
7203 59TH ST, LUBBOCK, TX 79407-8209
(806) 577-1472
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/26/2021
Last updated
09/27/2021
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