Individual
KAITLYN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
840 E CITRUS AVE, REDLANDS, CA 92374-5325
(909) 307-5500
Mailing address
840 E CITRUS AVE, REDLANDS, CA 92374-5325
(909) 307-5500
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000033581
NATIONAL ATHLETIC TRAINING ASSOCIATION
CA
Enumeration date
03/13/2019
Last updated
03/13/2019
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