Individual
KAITLYN MARIE REAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
137 GLENN ALLEN RD, MOORESVILLE, NC 28115-5809
(704) 677-6201
Mailing address
137 GLENN ALLEN RD, MOORESVILLE, NC 28115-5809
(704) 677-6201
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
07/20/2021
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