Provider Demographics
NPI:1548338049
Name:WHITE, KATHERINE JESSIE (MED, ATC)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:JESSIE
Last Name:WHITE
Suffix:
Gender:F
Credentials:MED, ATC
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Mailing Address - Street 1:85 OLD SALEM CT
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-9240
Mailing Address - Country:US
Mailing Address - Phone:828-808-2617
Mailing Address - Fax:
Practice Address - Street 1:204 S KING ST
Practice Address - Street 2:HENDERSONVILLE SPORTS MEDICINE & REHABILITATION
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5059
Practice Address - Country:US
Practice Address - Phone:828-692-1333
Practice Address - Fax:828-698-0048
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC09162255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer