Individual
KATHERINE ALLISON SHAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, PES
Contact information
Practice address
101 REGENT CT, STATE COLLEGE, PA 16801-7965
(814) 231-2101
Mailing address
203 MILLER CIR, FAYETTEVILLE, PA 17222-1127
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006648
PA
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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