Individual
KATIE MARIE BANOWETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
812 UNIVERSITY ST, PELLA, IA 50219-1999
(563) 349-0965
Mailing address
305 W 4TH ST., PELLA, IA 50219
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
121745
IA
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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