Individual
KATHERINE BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N NORTH ST LOT 4, RAYMOND, IL 62560-5263
(217) 313-1831
Mailing address
205 N NORTH ST LOT 4, RAYMOND, IL 62560-5263
(217) 313-1831
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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