| NPI | 1316630189 |
|---|---|
| Other Name | KATIE PROFFITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215700) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2024-03-12 |