Individual
MRS. KRISTIN E BAUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1030 HOWARD ST, SAINT CHARLES, IL 60174-2654
(630) 674-4221
Mailing address
1030 HOWARD ST, SAINT CHARLES, IL 60174-2654
(630) 674-4221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.000863
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
—
Enumeration date
09/07/2019
Last updated
09/07/2019
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