Individual
KAITLIN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
360 PEAK ONE DR STE 180, FRISCO, CO 80443-5948
(970) 668-3633
Mailing address
PO BOX 26402, SILVERTHORNE, CO 80497-6402
(989) 327-8917
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0001736
CO
Other
Enumeration date
01/20/2015
Last updated
04/14/2022
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