Individual
HANNAH FLICKEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, MAT, ATC
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR LBBY A, ANN ARBOR, MI 48105-9484
(734) 936-7400
Mailing address
1103 TOWN TRL, PINCKNEY, MI 48169-8023
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002735
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/07/2020
Last updated
07/28/2022
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