Kaitlen Gullicksrud, ATC/R

NPI #1841649290 in Roseville, Minnesota

Provider Information

NPI Number
1841649290
Entity Type
Individual
Name
Kaitlen Gullicksrud, ATC/R
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC/R
Enumeration Date
Jun 7, 2016
Last Updated
Jun 7, 2016

Practice Location

Address
1151 TRANSIT AVE
ZIP Code
55113-3233
Phone
(715) 379-0408

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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