Individual
KRISTYN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1301 S MAIN ST, OTTAWA, KS 66067-3537
(785) 229-8453
Mailing address
1301 S MAIN ST, OTTAWA, KS 66067-3537
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01330
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000024594
BOARD OF CERTIFICATION
—
01
—
24-01330
KANSAS STATE ATHLETIC TRAINING LICENSE
KS
Enumeration date
01/07/2019
Last updated
01/07/2019
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