Wilson, Katherine

Wilson, Katherine is an individual health care provider with primary practice located at 4318 Spyres Way , Modesto CA 95356-9259. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Wilson, Katherine can be contacted via phone (209) 576-0710.

Contact Information

Primary practice address
4318 Spyres Way Modesto CA 95356-9259
Phone: (209) 576-0710
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1295124055
LBN Legal business name Wilson, Katherine
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2015
Last updated Jan 16th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295124055 NPPES
Other ZZZ03337Z MEDICARE

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