Individual
HANNAH DEATHERAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10079 WHITE OAK CT, HIGHLANDS RANCH, CO 80129-4651
(303) 594-5537
Mailing address
10079 WHITE OAK CT, HIGHLANDS RANCH, CO 80129-4651
(303) 594-5537
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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