Individual
KATIE PRIMROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
4331 S FREMONT AVE, SPRINGFIELD, MO 65804-7328
(417) 820-5010
Mailing address
2010 E PAGE ST APT C4, SPRINGFIELD, MO 65802-3089
(515) 708-5879
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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