Individual
HAILEE ATHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2004 OAK CREEK RD, APT 133, RIVER RIDGE, LA 70123-5889
(612) 207-5726
Mailing address
2004 OAK CREEK RD, APT 133, RIVER RIDGE, LA 70123-5889
(612) 207-5726
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
304060
LA
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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