KATIE WALLIS

CAPE GIRARDEAU, MO
NPI1215439856
Former NameKATIE NILES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2009024419)
Enumeration Date2018-02-28
Last Update Date2018-02-28
Business Address
KATIE WALLIS MS, ATC
1701 LACEY ST
CAPE GIRARDEAU, MO 63701-5230
Phone number: 573-334-4822
Mailing Address
KATIE WALLIS MS, ATC
141 SOAKIE CRK
CAPE GIRARDEAU, MO 63701-8135
Phone number: 573-275-3307
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