Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLIN INNISS
Deactivated Sole ProprietorKAITLIN INNISS is a Athletic Trainer healthcare provider located in PHOENIX, Arizona. NPI 1831749852 is deactivated in the NPPES registry. Verify at CMS.
Athletic Trainer · PHOENIX, AZ
This NPI has been deactivated.
The record was deactivated on August 18, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1831749852
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2019 (1.9315068493151 yrs)
- Last Updated
- Mar 26, 2022
- Deactivated
- Aug 18, 2021
- License
-
ATR-009302 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17017 N 12TH ST UNIT 1003PHOENIX, AZ, 850222031Browse AZ providers · Browse ZIP 85022
- Phone
- 3074216389
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| MICHELLE SUSAN VARNELL | ATC | 1033181714 |
| MR. FRANK R NEVILLE | ATC | 1619940145 |
| DR. CHRISTOPHER MENDIAS | PHD, ATC | 1578536447 |
| LINDSEY M LOUGHRAN | MED, ATC | 1245209758 |
| MISS MARILYN JOAN HINTZ | MS, ATC/L, CSCS | 1659316479 |
| JUSTIN DAVID WHITEHOUSE | M.A., ATC | 1730250861 |
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.