Individual
KATIE MAE HERINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 DOT WAY, MOUNT STERLING, IL 62353-1664
(217) 773-4411
(217) 773-4903
Mailing address
1 DOT WAY, MOUNT STERLING, IL 62353-1664
(217) 773-4411
(217) 773-4903
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003599
IL
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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