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Individual

MS. KATHERINE MARIE WURTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, ATR, LAT

Contact information

Practice address
1027 WASHINGTON AVE, THERAPY DEPARTMENT, DETROIT LAKES, MN 56501
(701) 898-0668
Mailing address
1027 WASHINGTON AVE, THERAPY DEPARTMENT, DETROIT LAKES, MN 56501-3409
(218) 847-0883

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2309
MN
2255A2300X
Athletic Trainer
421-11
ND

Other

Enumeration date
11/03/2011
Last updated
11/19/2011
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