NPI 1841649290

Kaitlen Gullicksrud, ATCR

Practitioner Athletic Trainer Roseville, MN

Practice location

Address: 1151 Transit Ave, Roseville, MN 55113-3233
Phone: (715) 379-0408

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2325 (MN)

Other Specialist/Technologist providers in Minnesota →

Registry record

NPI: 1841649290
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jun 2016
Record last updated: 7 Jun 2016

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.