Caitlin Kammerer
Individual provider Active NPI Athletic Trainer · Watertown, MN
NPI 1164059713 · NPPES record last updated Mar 24, 2020
Key facts
- NPI
- 1164059713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 704 Amundson LN
Watertown, MN 55388-9409 - Phone
- (952) 715-2470
- NPI assigned
- Mar 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
704 Amundson LN
Watertown, MN 55388-9409
Mailing address
704 Amundson LN
Watertown, MN 55388-9409
Other providers in Watertown, MN
- Independent School District 111
- Gayla Jackson
- Drew Jensen
- Scott M Jensen
- Gregory James Kaiser
- Heather Marie Kary Jarvis
- Cynthia R Klaphake
- Julia Kolles
- LMN Services
- LMN Services
All providers in Watertown, MN · Athletic Trainer in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.