Individual
MISS KATHERINE NICOLE NOAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1533 SOUTH MAIN STREET, HEALTH SERVICES, WINSTON-SALEM, NC 27127
(330) 519-5554
Mailing address
1533 S MAIN ST, WINSTON SALEM, NC 27127-2738
(330) 519-5554
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/07/2018
Last updated
08/07/2023
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