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Individual
KATHERINE ANNE FISHER
Active
Individual
KATHERINE ANNE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2255A2300X
—
2255A2300X
Athletic Trainer
Primary
BOC366719
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24-0600
NBCOT
—
01
—
328475
LSBME
LA
01
—
BOC366719
BOC
—
Enumeration date
06/05/2019
Last updated
04/29/2026
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