Provider Demographics
NPI:1669269528
Name:BARNGROVER, KATIE
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:BARNGROVER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 402
Mailing Address - Street 2:
Mailing Address - City:DANIEL
Mailing Address - State:WY
Mailing Address - Zip Code:83115-0402
Mailing Address - Country:US
Mailing Address - Phone:307-231-5908
Mailing Address - Fax:
Practice Address - Street 1:16 ANDREW LN
Practice Address - Street 2:
Practice Address - City:PINEDALE
Practice Address - State:WY
Practice Address - Zip Code:82941-5013
Practice Address - Country:US
Practice Address - Phone:307-231-1714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach