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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KALEB JOEL DEFREESE, ATC, LAT

Active Sole Proprietor

KALEB JOEL DEFREESE, ATC, LAT is a Athletic Trainer healthcare provider located in MONUMENT, Colorado. NPI 1245754308 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MONUMENT, CO

Registration Details

NPI Number
1245754308
Provider Type
Individual
Gender
Male
NPI Issued
Jul 31, 2017 (9.0012561927435 yrs)
Last Updated
Jul 31, 2017
License
AT.0001709 (CO)
Sole Proprietor
Yes

Practice Information

Address
1300 HIGBY RD
MONUMENT, CO, 801327406
Browse CO providers · Browse ZIP 80132
Phone
7194884720
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MONUMENT, CO

Name Credential NPI
MS. JENNIFER ANN STONE ATC 1245444298
MR. KEVIN MARGARUCCI ATC 1144587247
ERICA C LYONS ATC 1790187458
SCOTT RILEY ATC 1942059753
YASMINE WRIGHT ATC 1780474981
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.