Individual
SARAI YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 988-6131
(618) 351-4928
Mailing address
201 S 14TH ST, HERRIN, IL 62948-3631
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096001383
IL
Other
Enumeration date
03/11/2006
Last updated
04/04/2019
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