Individual
KATELYN WOODRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N CLARKSON ST, FREMONT, NE 68025-4254
(800) 642-8382
Mailing address
131 STORY RD, HARRISON, NE 69346-2521
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
989
NE
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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