Most Relevant Information
Provider Data
| NPI Number: | 1003442195 |
| Provider Name: | KAITLYN PAIGE HARRISON LAT, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT8084 |
Most Important Dates
| Enumeration Date: | 03/20/2020 |
| Last Updated: | 03/20/2020 |
Provider Practice Location
3608 CLARY AVE
FORT WORTH
TX
761114818
Practice Location Phone/Fax
| Phone: | 8175840910 |
| Fax: |
Provider Mailing Location
3608 CLARY AVE
FORT WORTH
TX
761114818
Provider Mailing Phone/Fax
| Phone: | 8175840910 |
| Fax: |