Individual
MS. JOANIE MARIE HATTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/LAT
Contact information
Practice address
6151 N. MAIN STREET ROAD, WEBB CITY, MO 64870
(417) 280-2111
Mailing address
6151 N. MAIN STREET ROAD, WEBB CITY, MO 64870
(417) 280-2111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2009023889
MO
2255A2300X
Athletic Trainer
524
OK
Other
Enumeration date
02/26/2009
Last updated
11/09/2020
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