Individual
KATHRYN MINAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5101 JOHN C. LODGE, 101 MATTHAEI, DETROIT, MI 48202
(313) 577-1008
Mailing address
460 W CANFIELD ST, 205, DETROIT, MI 48201-1317
(650) 740-0318
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000941
MI
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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