Individual
KATIE COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ATC
Contact information
Practice address
2 MEDICAL PARK RD, SUITE 104, COLUMBIA, SC 29203-6808
(803) 434-6812
Mailing address
100 WALDEN HEIGHTS DR, APT 512, IRMO, SC 29063-7865
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1022
SC
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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