Individual
KAITLYN DESHAIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 34TH ST W, BRADENTON, FL 34210-3506
(617) 899-5765
Mailing address
5500 34TH ST W, BRADENTON, FL 34210-3506
(617) 899-5765
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2724
FL
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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