Individual
MS. KATIE LYNN BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, CSCS
Contact information
Practice address
900 WOOD RD, KENOSHA, WI 53144-1199
(262) 370-3484
Mailing address
900 WOOD RD, KENOSHA, WI 53144-1199
(262) 370-3484
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.003460
IL
2255A2300X
Athletic Trainer
Primary
2113-39
WI
2255A2300X
Athletic Trainer
AT.003398
OH
Other
Enumeration date
03/29/2011
Last updated
09/25/2020
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