Individual
MARY KATE CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, AT
Contact information
Practice address
1 W FIRESTORM WAY, GLENDALE, AZ 85306-3216
(602) 489-5300
Mailing address
9487 FENTON RD, FENTON, IL 61251-9505
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
009077
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009077
ARIZONA BOARD OF ATHLETIC TRAINING
AZ
Enumeration date
08/31/2016
Last updated
11/18/2022
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