Individual provider · Type 1 NPI

Carl Koterwski, LAT ATC

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1558817833 Active

Practice location

8203 Vista Colorado St
Las Vegas, NV 89123-4312

Call (702) 289-1246 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X0506379 (NV)

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.

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About NPI 1558817833

Carl Koterwski, LAT ATC's National Provider Identifier is 1558817833, issued on Aug 28, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 28, 2016.