Individual
MISS KATHRYN LYN VOLLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.A.T.
Contact information
Practice address
4410 CRENSHAW RD, PASADENA, TX 77504-3629
(281) 991-2440
(281) 991-2450
Mailing address
2210 MIMOSA CT, LEAGUE CITY, TX 77573-4912
(713) 805-7209
(281) 554-3715
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT1359
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT1359
LICENSED ATHLETIC TRAINER
TX
Enumeration date
10/12/2006
Last updated
07/08/2007
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