Individual
KATHERINE LOUISE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1705 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001-1348
(520) 977-0867
Mailing address
1705 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001-1348
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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