Katherine Louise Ewalt in San Diego - Athletic Trainer
Katherine Louise Ewalt - NPI 1063461978
Katherine Louise Ewalt is a Athletic Trainer in San Diego, California. Katherine Louise Ewalt practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Katherine Louise Ewalt is 1063461978. The last update date is 2011-12-02.
Katherine Louise Ewalt's current location address is 2650 Truxtun Rd, San Diego, California. You can contact this provider via phone number 6192255762. The mailing address for Katherine Louise Ewalt is 2650 Truxtun Rd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Louise Ewalt |
|---|---|
| Address | 2650 Truxtun Rd, San Diego, California |
| Phone Number | 6192255762 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS, ATC, H |
NPI Number Detail
| NPI Number | 1063461978 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2011-12-02 |
Provider Mailing Address Detail
| Address | 2650 Truxtun Rd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921066172 |
| Phone Number | 6192255762 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identification code assigned to Katherine Louise Ewalt by the Centers for Medicare & Medicaid Services?
The Katherine Louise Ewalt has been issued the NPI (National Provider Identifier) 1063461978, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Katherine Louise Ewalt located?
The Katherine Louise Ewalt is located at 2650 Truxtun Rd, San Diego, CA 921066172.
What is Katherine Louise Ewalt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Katherine Louise Ewalt is Athletic Trainer, and the taxonomy classification code that categorizes this area of expertise is 2255A2300X.
On what date did Katherine Louise Ewalt receive its 1063461978 assignment from the Centers for Medicare & Medicaid Services?
The Katherine Louise Ewalt was assigned its 1063461978 on 2006-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Katherine Louise Ewalt most recently updated or revised?
The information pertaining to Katherine Louise Ewalt, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-02.
NPI Number: 1528061710
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