Individual
MIKAYLA COGHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
307 CHANCELLOR PL, FREDERICKSBURG, VA 22401-2104
(540) 845-7570
Mailing address
307 CHANCELLOR PL, FREDERICKSBURG, VA 22401-2104
(540) 845-7570
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
2908
AL
2255A2300X
Athletic Trainer
Primary
2908
AL
Other
Enumeration date
05/22/2023
Last updated
07/17/2024
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