Individual
KAITLIN ELIZABETH BOTTORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
596 HELTMAN RD, MILL HALL, PA 17751-9032
(570) 295-2127
Mailing address
596 HELTMAN RD, MILL HALL, PA 17751-9032
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005889
PA
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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