Individual
MS. KATHERINE ANNE COBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, PTA, CSCS, CMT
Contact information
Practice address
4822 N ROSEPOINT WAY, BOISE, ID 83713-0944
(208) 941-1282
Mailing address
410 E ROCKINGHAM DR, EAGLE, ID 83616-6918
(208) 941-1282
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
10/03/2010
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