Katie Lynn Fails, PT, ATC is a 
Specialist/technologist - Athletic Trainer based in Springfield, Missouri. Katie Lynn Fails is licensed to practice in Missouri (license number 2012011128) and her current practice location is 
4331 S Fremont Ave, Springfield, Missouri. She can be reached at her office (for appointments etc.) via phone at 
(417) 820-5010.
NPI number for Katie Lynn Fails is 1598011900 and her current mailing address is 4331 S Fremont Ave, Springfield, Missouri. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598011900.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Katie Lynn Fails | 
|---|
| Gender | Female | 
|---|
| Speciality | Specialist/technologist - Athletic Trainer | 
|---|
| Location | 4331 S Fremont Ave, Springfield, Missouri | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1598011900
- Provider Enumeration Date: 08/03/2012
- Last Update Date: 08/03/2012
 
		 
		 
Medical Identifiers
		Medical identifiers for Katie Lynn Fails such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1598011900 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 225100000X | Physical Therapist | 2012023500 (Missouri) | Secondary | 
| 2255A2300X | Specialist/technologist - Athletic Trainer | 2012011128 (Missouri) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katie Lynn Fails is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Katie Lynn Fails, PT, ATC 4331 S Fremont Ave,
 Springfield, MO 65804-7328
 Ph: (417) 820-5010
 | Katie Lynn Fails, PT, ATC 4331 S Fremont Ave,
 Springfield, MO 65804-7328
 Ph: (417) 820-5010
 | 
		
		 
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