Healthcare Provider Details

I. General information

NPI: 1972717130
Provider Name (Legal Business Name): KATHERINE L STEELE-LOY ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 MANNAKEE ST
ROCKVILLE MD
20850-1101
US

IV. Provider business mailing address

6625 FOX MEADE CT
FREDERICK MD
21702-9493
US

V. Phone/Fax

Practice location:
  • Phone: 240-567-7574
  • Fax:
Mailing address:
  • Phone: 301-698-0874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: