Katelynn M Ash, MS, ATC

Individual provider Active NPI Athletic Trainer · Lapel, IN

NPI 1033764253 · NPPES record last updated Aug 5, 2019

Key facts

NPI
1033764253
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
36002014A (IN)
Practice address
405 E 9TH St
Lapel, IN 46051-9635
Phone
(765) 621-5637
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
36002014AINMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 36002014A IN Yes

Addresses

Primary practice location

405 E 9TH St
Lapel, IN 46051-9635

Mailing address

405 E 9TH St
Lapel, IN 46051-9635
Phone (765) 621-5637

Other providers in Lapel, IN

All providers in Lapel, IN · Athletic Trainer in Indiana

Sources for this page

Verify at the official NPI Registry.