Katharine Black, RBT

NPI #1295195410 in Lafayette, Colorado

Provider Information

NPI Number: 1295195410
Entity Type: Individual
Name: Katharine Black, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: RBT
Enumeration Date: Mar 1, 2016
Last Updated: Oct 4, 2018

Practice Location

Address: 1200 W SOUTH BOULDER RD STE 204
City: Lafayette
State: Colorado
ZIP Code: 80026-2833
Phone: (720) 837-2348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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