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Katie Alexis Oneacre

Student in an Organized Health Care Education/Training Program in Tuscaloosa, AL. Individual provider (NPI-1).

NPI number1790403293
StatusActive
Last updated in NPPESAug 19, 2022

Details

NPI
1790403293
Entity type
Individual (NPI-1)
Name
Katie Alexis Oneacre
Sex
Female
Sole proprietor
No
Enumeration date
Aug 19, 2022
Certification date
Aug 19, 2022
Last updated
Aug 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

1413 Southern Gardens Dr
Tuscaloosa, AL 35404-3834

Phone 317-903-1875

Mailing address

1413 Southern Gardens Dr
Tuscaloosa, AL 35404-3834

Phone 317-903-1875

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