Individual
KATRINA LYNN FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1600 CHARLES PL, MANHATTAN, KS 66502-2750
(785) 537-4230
Mailing address
165-A LOWER BRICK ROW, FORT RILEY, KS 66442
(785) 784-4986
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NJ
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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