Individual
MISS KATIE STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3280 MITCHELL BLVD, MOODY AFB, GA 31699-2784
(229) 257-9919
Mailing address
3280 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-9919
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001940
GA
Other
Enumeration date
10/20/2012
Last updated
11/07/2023
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