NPI 1104274851

Kaitlin Carlson

Practitioner Athletic Trainer Peoria, IL

Practice location

Address: 6000 N Allen Rd, Peoria, IL 61614-3294
Phone: (309) 691-1400
Fax: (309) 693-3197

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1104274851
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2016
Record last updated: 31 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.