| NPI | 1306470042 |
|---|---|
| Other Name | KATIE UPCHURCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: TN 1209) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |