| NPI | 1568726081 |
|---|---|
| Former Name | KATELIN RENEE SIEVERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WY PT1743) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2022-11-03 |