Most Relevant Information
Provider Data
| NPI Number: | 1003479965 |
| Provider Name: | KATELYNN MARIE WALSH MS, LAT, ATC, EMT |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/17/2019 |
| Last Updated: | 03/23/2023 |
Provider Practice Location
560 S MAPLE ST
WACONIA
MN
553871733
Practice Location Phone/Fax
| Phone: | 9528438505 |
| Fax: |
Provider Mailing Location
PO BOX 282
CARVER
MN
553150282
Provider Mailing Phone/Fax
| Phone: | 9528438505 |
| Fax: |