| NPI | 1063601375 |
|---|---|
| Other Name | KATIE ELIZABETH SEVEREID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: WA PT00010618) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2008-03-18 |