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Individual

KAT WARNECKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAT, LAT, ATC

Contact information

Practice address
875 PERIMETER DR, MOSCOW, ID 83844-9803
(208) 577-0130
Mailing address
304 VICTORIA DR, MOSCOW, ID 83843-5041
(208) 577-0130

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-917
ID

Other

Enumeration date
08/08/2024
Last updated
08/08/2024
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