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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATIE MAE BOTTERBUSCH

Active Sole Proprietor

KATIE MAE BOTTERBUSCH is a Student (Health Education/Training) healthcare provider located in SCHROON LAKE, New York. NPI 1932701059 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · SCHROON LAKE, NY

Registration Details

NPI Number
1932701059
Provider Type
Individual
Gender
Female
NPI Issued
Nov 13, 2020 (5.7636518538337 yrs)
Last Updated
Nov 13, 2020
Sole Proprietor
Yes

Practice Information

Address
10 JORDAN ST
SCHROON LAKE, NY, 128702619
Browse NY providers · Browse ZIP 12870
Phone
5186375144
Primary Specialty
Student (Health Education/Training)
390200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.