Individual
KATHRYN PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3333 96TH AVE, ZEELAND, MI 49464-9721
(616) 405-0164
Mailing address
16698 ASHLEY LN, HOLLAND, MI 49424-6000
(616) 405-0164
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002605
MI
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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