Individual
KAITLYN MARIE MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
820 FRONT ST, CHICOPEE, MA 01020-1722
(413) 594-3437
Mailing address
63 BLUEBERRY HILL ST, SPRINGFIELD, MA 01128-1011
(978) 987-4478
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3588
MA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2019
Last updated
09/23/2022
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