Individual
KATHERINE WIKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
65 HOUGHTON ST APT 1, HUDSON, MA 01749-2514
(516) 382-0714
Mailing address
65 HOUGHTON ST APT 1, HUDSON, MA 01749-2514
(516) 382-0714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3257
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000010108
N/A
MA
Enumeration date
10/21/2022
Last updated
10/21/2022
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