Individual
KATIE ANN AANERUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
235 ATASCADERO RD, MORRO BAY, CA 93442-1516
(805) 235-7246
Mailing address
1106 WALNUT ST, SAN LUIS OBISPO, CA 93401-2416
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/02/2014
Last updated
08/02/2014
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