Individual
KATHIE LANETTE HOLLOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE, LAT, ATC, CPTA
Contact information
Practice address
1845 FAIRMOUNT ST, WICHITA, KS 67260-0001
(316) 978-5574
(316) 978-3177
Mailing address
1845 FAIRMOUNT, CAMPUS BOX 18, WICHITA, KS 67260-0001
(316) 619-1856
(316) 978-3177
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
14-01631
KS
2255A2300X
Athletic Trainer
Primary
24-00482
KS
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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