Provider Demographics
NPI:1235914474
Name:MCNIFF, KAITLYN RILEY (AT)
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:RILEY
Last Name:MCNIFF
Suffix:
Gender:F
Credentials:AT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 SOUTHGATE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-2747
Mailing Address - Country:US
Mailing Address - Phone:508-298-2606
Mailing Address - Fax:
Practice Address - Street 1:34 SOUTHGATE RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-2747
Practice Address - Country:US
Practice Address - Phone:508-298-2606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer