Individual
KAITLYN WALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6919 SPENCERVILLE RD, LIMA, OH 45806-9347
(419) 235-2485
Mailing address
6919 SPENCERVILLE RD, LIMA, OH 45806-9347
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006314
PA
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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