Individual
KATELYN UTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
212 N MAIN ST, AINSWORTH, NE 69210
(402) 387-1600
Mailing address
297 S MAIN ST, LONG PINE, NE 69217-6400
(308) 880-0019
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
781
NE
Other
Enumeration date
06/20/2017
Last updated
08/03/2018
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