Individual
KATHERINE SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
204 W WASHINGTON ST, LEXINGTON, VA 24450-2554
(540) 458-8166
Mailing address
45 HOLLY PARK LN APT 211, LEXINGTON, VA 24450-3755
(269) 759-4262
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002705
VA
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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