Individual
MRS. PAIGE MARIE HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
229 E PINE ST, MOWEAQUA, IL 62550-1041
(217) 768-3866
Mailing address
1211 N WOOD ST, SHELBYVILLE, IL 62565-1083
(217) 690-5378
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004295
IL
Other
Enumeration date
01/19/2018
Last updated
08/26/2021
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