Individual
CAITLIN BLACKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 UNIVERSITY DR, SAN MARCOS, TX 78666-4684
(512) 245-2111
Mailing address
601 UNIVERSITY DR, SAN MARCOS, TX 78666-4684
(512) 245-2111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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