Individual
KRISTA KAUTZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
442 111TH AVE NW, COON RAPIDS, MN 55448-3360
(715) 610-2559
Mailing address
442 111TH AVE NW, COON RAPIDS, MN 55448-3360
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/14/2015
Last updated
07/15/2015
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