Caitlin Blackmore
Student in an Organized Health Care Education/Training Program in San Marcos, TX. Individual provider (NPI-1).
NPI number1669845699
StatusActive
Last updated in NPPESNov 13, 2015
Details
- NPI
- 1669845699
- Entity type
- Individual (NPI-1)
- Name
- Caitlin Blackmore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2015
- Last updated
- Nov 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | TX | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | TX |
Practice location
601 University DrSan Marcos, TX 78666-4684
Phone 512-245-2111
Mailing address
601 University DrSan Marcos, TX 78666-4684
Phone 512-245-2111
Is something wrong?
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