Individual
MS. CAITLIN PAKKALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
2230 HUGHES AVE, JBSA LACKLAND, TX 78236-5415
(248) 231-9378
Mailing address
5525 MANSIONS BLFS APT 736, SAN ANTONIO, TX 78245-4112
(248) 231-9378
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/31/2016
Last updated
09/28/2021
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