Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLEN GULLICKSRUD, ATC/R
Active Sole ProprietorKAITLEN GULLICKSRUD, ATC/R is a Athletic Trainer healthcare provider located in ROSEVILLE, Minnesota. NPI 1841649290 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ROSEVILLE, MN
Registration Details
- NPI Number
- 1841649290
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2016 (10.146116852518 yrs)
- Last Updated
- Jun 7, 2016
- License
-
2325 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1151 TRANSIT AVEROSEVILLE, MN, 551133233Browse MN providers · Browse ZIP 55113
- Phone
- 7153790408
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in ROSEVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| KARA J CUTSHALL | ATC | 1013037324 |
| ASHLEY L KRANTZ | — | 1194281402 |
| JOLIE GARVIN | LAT | 1972193308 |
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.