Individual
CAITLIN KELSEY DIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
888 E CLINTON ST, #2136, PHOENIX, AZ 85020-5802
(419) 577-2225
Mailing address
888 E CLINTON ST, #2136, PHOENIX, AZ 85020-5802
(419) 577-2225
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1212
AZ
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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