Individual
MEGAN HERTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1513 OLD IVY DR, SPRINGFIELD, IL 62711-8156
(217) 816-7052
Mailing address
1513 OLD IVY DR, SPRINGFIELD, IL 62711-8156
(217) 816-7052
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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