Individual
KACIE SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2702 8TH AVE N, BILLINGS, MT 59101-1107
(406) 200-2391
Mailing address
2707 13TH ST W, APT. 1, BILLINGS, MT 59102-1737
(406) 860-7392
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1075
MT
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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