Individual
KRISTY DAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
401 N FAIRVIEW ST, LOCK HAVEN, PA 17745-2342
(316) 737-8332
Mailing address
810 E WATER ST APT 31, LOCK HAVEN, PA 17745-1522
(316) 737-8332
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000038640
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
N/A
—
Enumeration date
10/08/2020
Last updated
10/08/2020
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