Individual
KATIE THURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
919 N 15TH ST, BISMARCK, ND 58501-4248
(408) 410-6221
Mailing address
919 N 15TH ST, BISMARCK, ND 58501-4248
(408) 410-6221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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