Individual
KATHERINE AVERY ROTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 N STADIUM DR, FAYETTEVILLE, AR 72701-4026
(479) 575-3133
Mailing address
4254 NE MEADOW CREEK CIR APT 206, FAYETTEVILLE, AR 72703-6360
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
780
AR
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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