Individual
KATELYNN MARIE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC, EMT
Contact information
Practice address
560 S MAPLE ST, WACONIA, MN 55387-1733
(952) 843-8505
Mailing address
PO BOX 282, CARVER, MN 55315-0282
(952) 843-8505
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3359
MN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/17/2019
Last updated
03/23/2023
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