Individual
KATHERINE BODENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
715 HOLLOW RD, ELLICOTT CITY, MD 21043-4717
(717) 870-7016
Mailing address
715 HOLLOW RD, ELLICOTT CITY, MD 21043-4717
(717) 870-7016
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S03724
MD
111NS0005X
Sports Physician Chiropractor
S03724
MD
Other
Enumeration date
02/20/2013
Last updated
12/15/2020
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