Individual
MRS. HEATHER SEVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
328 S DEARBORN AVE, BRADLEY, IL 60915
(206) 948-9249
Mailing address
328 S DEARBORN AVE, BRADLEY, IL 60915
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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