Individual
KAYLA HARTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 GODFREY RD, GODFREY, IL 62035-2426
(847) 315-0338
Mailing address
2824 NORWOOD LN, GODFREY, IL 62035-1716
(847) 315-0338
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
02/26/2025
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