Individual
KATHERINE ELIZABETH ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
11065 BROADWAY, CROWN POINT, IN 46307-7301
(219) 663-3003
Mailing address
11065 BROADWAY, CROWN POINT, IN 46307-7301
(219) 663-3003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002105A
IN
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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