Individual
CAITLIN ANNE GALLUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, PTA
Contact information
Practice address
4703 PACIFIC HWY E STE B, FIFE, WA 98424
(253) 926-8212
Mailing address
1217 S 240TH ST, DES MOINES, WA 98198-3837
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160184177
WA
Other
Enumeration date
08/24/2017
Last updated
06/11/2018
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