Individual
MS. TISHA MARIE HESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
2538 E LOST BRIDGE RD, DECATUR, IL 62521-4408
(217) 412-0057
Mailing address
2538 E LOST BRIDGE RD, DECATUR, IL 62521-4408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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