Individual
KAITLYN MEYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
590 HERTY DRIVE, STATESBORO, GA 30458
(912) 478-1220
Mailing address
256 S CLINTON AVE, LINDENHURST, NY 11757-5111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003367
GA
Other
Enumeration date
02/13/2019
Last updated
10/01/2020
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