Individual
KATIE LYNN MULLIGAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
1968 LAC DU MONT, HASLETT, MI 48840-9506
(248) 719-2081
Mailing address
1968 LAC DU MONT, HASLETT, MI 48840-9506
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001034
MI
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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