Individual
KATELYNN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3099
(417) 777-7763
Mailing address
3040 E 500 RD, EL DORADO SPRINGS, MO 64744-6300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MO
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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