Individual
CAITLIN M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1260 S PIKE AVENUE, BOLIVAR, MO 65613
(417) 328-1796
Mailing address
1028 E SAINT LOUIS ST APT 1132, SPRINGFIELD, MO 65806-2669
(217) 871-8071
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2019023420
MO
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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