Individual
KATLIN GOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
16 DREAMCATCHER LN, BEAUFORT, SC 29906-8850
(843) 252-3682
Mailing address
16 DREAMCATCHER LN, BEAUFORT, SC 29906-8850
(843) 252-3682
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
SC041313
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2016
Last updated
06/15/2020
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