Individual
KATIE S ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
101 SOCCER PARK DR # C, CARY, NC 27511-6971
(316) 305-4121
Mailing address
912 SW LAUREN CT, LEES SUMMIT, MO 64081-2257
(316) 305-4121
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-5021
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2018
Last updated
02/27/2025
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