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Individual

MS. KATHERINE MARIE WOODS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, LAT, WEMT

Contact information

Practice address
1850 E 250 S, HPER E RM 207, SALT LAKE CITY, UT 84112
(801) 585-9070
Mailing address
1720 S 200 E, SALT LAKE CITY, UT 84115-1915
(304) 389-1293

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
2255A2300X
Athletic Trainer
Primary
7454602-4810
UT

Other

Enumeration date
11/03/2011
Last updated
09/12/2016
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