Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLYN MALONEY, MS. ED., ATC, LAT
Active Sole ProprietorKAITLYN MALONEY, MS. ED., ATC, LAT is a Sports Medicine (PM&R) healthcare provider located in DE SOTO, Illinois. NPI 1750947586 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · DE SOTO, IL
Registration Details
- NPI Number
- 1750947586
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2019 (7.2870475854077 yrs)
- Last Updated
- May 16, 2019
- License
-
2000017799 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
125 JAN LN APT 2DE SOTO, IL, 629240045Browse IL providers · Browse ZIP 62924
- Phone
- 3023536468
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
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.