Individual
KATHRYN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
785 OHIO AVE, SUITE 1H, CLARKSDALE, MS 38614-6217
(662) 621-2438
Mailing address
785 OHIO AVE, SUITE 1H, CLARKSDALE, MS 38614-6217
(662) 621-2438
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0804
MS
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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