NPI 1114334604

Katherine Sullivan, PHDATCUSAW

Practitioner Athletic Trainer Detroit, MI

Practice location

Address: 656 W Kirby St, Detroit, MI 48202-3622
Phone: (313) 577-9326

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence LAT-4054 (NC)

Other Specialist/Technologist providers in Michigan →

Registry record

NPI: 1114334604
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2014
Record last updated: 12 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.