Katherine Bradley, ATC Valid NPI

Individual provider · Athletic Trainer · O Fallon, IL

NPI

1073104881

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

096004885 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2021-02-03

Last updated

2021-02-03