Individual
KATHERINE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
11837 RIDGE PKWY APT 428, BROOMFIELD, CO 80021-5093
(949) 292-8418
Mailing address
11837 RIDGE PKWY APT 428, BROOMFIELD, CO 80021-5093
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0002002
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE, AND RESTORATIVE SERVICES
—
Enumeration date
06/09/2021
Last updated
06/09/2021
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