Individual
KATHERINE ASHLEY PATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2600 WILSON ST, MILES CITY, MT 59301-5094
(406) 233-2719
Mailing address
707 S COTTAGE GRV, MILES CITY, MT 59301-4517
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
840
MT
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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