Individual
KRISTIN VON HATTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, CSCS
Contact information
Practice address
701 COLLEGE RD, LEBANON, IL 62254-1291
(618) 537-6929
(618) 537-6509
Mailing address
701 COLLEGE RD, LEBANON, IL 62254-1291
(618) 537-6929
(618) 537-6509
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096001760
IL
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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