NPI | 1477953438 |
---|---|
Other Name | KATIE KAISER MOFFITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20973) |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: NC 1847) |
Enumeration Date | 2014-08-27 |
Last Update Date | 2022-01-15 |