Individual provider · Type 1 NPI
Katherine Nicole Moreno, BS, ATC, LAT
Student in an Organized Health Care Education/Training Program · Brownsboro, TX
NPI number
1114479292
Active
Practice location
14036 Saylors St
Brownsboro, TX 75756-6655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 2000026015 (TX) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1114479292
Katherine Nicole Moreno, BS, ATC, LAT's National Provider Identifier is 1114479292, issued on Oct 25, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brownsboro, TX. The record was last updated on Oct 25, 2016.