Provider Demographics
NPI:1235829771
Name:RAWLINGS, KATIE
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:RAWLINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:483 E ALPINE DR
Mailing Address - Street 2:
Mailing Address - City:ELK RIDGE
Mailing Address - State:UT
Mailing Address - Zip Code:84651-9548
Mailing Address - Country:US
Mailing Address - Phone:801-675-9348
Mailing Address - Fax:
Practice Address - Street 1:483 E ALPINE DR
Practice Address - Street 2:
Practice Address - City:ELK RIDGE
Practice Address - State:UT
Practice Address - Zip Code:84651-9548
Practice Address - Country:US
Practice Address - Phone:801-675-9348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program