Provider Demographics
NPI:1730124553
Name:KALTENBORN, JOHN MORGAN (MS, ATC, PES)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:MORGAN
Last Name:KALTENBORN
Suffix:
Gender:M
Credentials:MS, ATC, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JAMES MADISON UNIVERSITY
Mailing Address - Street 2:MSC 2301 GODWIN HALL RM. 128
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22807-0001
Mailing Address - Country:US
Mailing Address - Phone:540-568-8020
Mailing Address - Fax:540-568-6950
Practice Address - Street 1:JAMES MADISON UNIVERSITY
Practice Address - Street 2:MSC 2301 GODWIN HALL RM. 128
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-0001
Practice Address - Country:US
Practice Address - Phone:540-568-8020
Practice Address - Fax:540-568-6950
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer