Katelyn Banner

NPI #1174064257 in Boyne City, Michigan

Provider Information

NPI Number: 1174064257
Entity Type: Individual
Name: Katelyn Banner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 9, 2017
Last Updated: Mar 9, 2017

Practice Location

Address: 507 SPRING ST
City: Boyne City
State: Michigan
ZIP Code: 49712-1295
Phone: (231) 675-9045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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