Individual
KATIE ANNE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT CST
Contact information
Practice address
1171 NOTTAWAY DR, SO LAKE TAHOE, CA 96150
(530) 908-7718
(530) 577-4030
Mailing address
1171 NOTTAWAY DR, SO LAKE TAHOE, CA 96150
(530) 908-7718
(530) 577-4030
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
2006037797
CA
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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