Brynn Hackney, ATC, LAT Valid NPI

Individual provider · Athletic Trainer · O Fallon, IL

NPI

1184114878

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

096.004050 (IL)

Sex

Female

Sole proprietor

Yes

Enumerated

2018-05-17

Last updated

2018-05-17