Individual
KATELYN PATBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
111 W JEFFERSON BLVD, SOUTH BEND, IN 46601-1994
(574) 647-1670
Mailing address
330 BERCADO CIR APT 26, MISHAWAKA, IN 46544-4141
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002331A
IN
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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