Katrina Haley Carl, ATC, LAT

NPI #1164883930 in Blackfoot, Idaho

Provider Information

NPI Number
1164883930
Entity Type
Individual
Name
Katrina Haley Carl, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Mar 8, 2016
Last Updated
Mar 8, 2016

Practice Location

Address
98 POPLAR ST
State
Idaho
ZIP Code
83221-1758
Phone
(530) 635-7005

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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