Individual
CARYN KOHLRUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1955 N VALLEY DR, LAS CRUCES, NM 88007-5154
(505) 412-5112
Mailing address
465 SALOPEK BLVD, LAS CRUCES, NM 88001-7608
(505) 412-5112
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
524
NM
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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