| NPI | 1922689371 |
|---|---|
| Former Name | KATELYN ANNE ELKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12037) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2766) |
| 225100000X Physical Therapist (Licence: CA 299697) | |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2023-10-17 |