Individual
KATELYN HANNAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10311 64TH AVE, PLEASANT PRAIRIE, WI 53158-3305
(262) 818-4686
Mailing address
10311 64TH AVE, PLEASANT PRAIRIE, WI 53158-3305
(262) 818-4686
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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