Individual
KATRINA MARIE LINENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCAT, ATC
Contact information
Practice address
300 COLUMBIA AVE, CHAPIN, SC 29036-9422
(180) 357-5540
Mailing address
1019 SUBER ST, COLUMBIA, SC 29205-4623
(541) 961-9145
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT03224
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2020
Last updated
06/12/2022
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