Katie Ann Aanerud, ATC
Specialist/Technologist, Athletic Trainer in Morro Bay, CA. Individual provider (NPI-1).
NPI number1619386760
StatusActive
Last updated in NPPESAug 2, 2014
Details
- NPI
- 1619386760
- Entity type
- Individual (NPI-1)
- Name
- Katie Ann Aanerud
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2014
- Last updated
- Aug 2, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Other names
- Katie Ann Dietrich (Former Name)
Practice location
235 Atascadero RdMorro Bay, CA 93442-1516
Phone 805-235-7246
Mailing address
1106 Walnut StSan Luis Obispo, CA 93401-2416
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