National Provider Identifier

Katherine Glose, ATC

Katherine Glose, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Buffalo, NY and a listed phone number of (716) 713-1927.

NPI 1063523215Buffalo, NYAthletic Trainer

Profile Overview

NPI
1063523215
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
August 31, 2006
Last Updated
December 12, 2016

Practice Location

  • 2001 Main St
  • Buffalo, NY 14208-1035

Phone: (716) 713-1927

Mailing Address

  • 173 McKinley Ave
  • Kenmore, NY 14217-2462

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1063523215
Entity Type
Individual
Last Name
Glose
First Name
Katherine
Name Prefix
MS.
Credential
ATC
Provider Other Last Name
Sampson
Provider Other First Name
Katherine
Provider Other Credential Text
ATC
Provider Other Last Name Type Code
1
Mailing Street Address
173 McKinley Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2462
Mailing Country
US
Mailing Phone
(716) 713-1927
Practice Street Address
2001 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14208-1035
Practice Country
US
Practice Phone
(716) 713-1927
Enumeration Date
August 31, 2006
Last Updated
December 12, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)