Individual
MISS KATHLEEN PATRICIA AYOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
104 MOOR DR, SHELBY, NC 28150-7600
(704) 313-7022
Mailing address
104 MOOR DR, SHELBY, NC 28150-7600
(704) 313-7022
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0035
NC
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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