Jill Renee Kistler, ATC Valid NPI

Individual provider · Athletic Trainer · Warren, OH

NPI

1093815748

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

000622 (OH)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-09-23

Last updated

2007-07-08