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Individual

KATHERINE R NEWSHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, ATC

Contact information

Practice address
3437 CAROLINE ST, SAINT LOUIS, MO 63104-1111
(314) 977-8507
Mailing address
3437 CAROLINE ST, SAINT LOUIS, MO 63104-1111
(314) 977-8507

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2009024418
MO

Other

Enumeration date
06/27/2006
Last updated
11/04/2015
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