Individual
KATELIN WOLLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-1020
(951) 809-1320
Mailing address
4212 S FEDERAL WAY APT U102, BOISE, ID 83716-5587
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-498
ID
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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