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MS. MCKENNA KRISTINE BACHMANN MS, ATC, CSCS, CISSN
Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1508484718
Individual Registrant:MS. MCKENNA KRISTINE BACHMANN MS, ATC, CSCS, CISSN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
MOODY AIR FORCE BASE VALDOSTA, GA 31605 US
Tel: 772-480-8696 Fax: --
Tel: 772-480-8696 Fax: --
Contact information for business:
414 MIDVALE TER SEBASTIAN, FL 32958-6622 US
Tel: 772-480-8696 Fax: --
Tel: 772-480-8696 Fax: --
Registration Information:
NPI: 1508484718
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Athletic Trainer | GA | AT003525 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
