Individual
KATIE ALTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
7711 MICHAEL LN, NEWBURGH, IN 47630-8004
(812) 204-9121
Mailing address
8 WOODDUCK RD, LEXINGTON, VA 24450-2233
(812) 204-9121
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002921
VA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/03/2015
Last updated
05/08/2022
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