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Contact Information

KATHERINE CANTLEBARY, ATC, LAT
4051 WEST TERMINAL DRIVE
SALT LAKE CITY, UT84122
 Phone: 801-744-4008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for KATHERINE CANTLEBARY · (Female)

NPI Number 1366034373
Status Active
Credentials ATC, LAT
Entity Individual
Enumeration date 02/10/2021
Last updated 02/10/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 11864570-4810
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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