Kayla Hartigan
Specialist/Technologist, Athletic Trainer in Godfrey, IL. Individual provider (NPI-1).
NPI number1952829806
StatusActive
Last updated in NPPESFeb 26, 2025
Details
- NPI
- 1952829806
- Entity type
- Individual (NPI-1)
- Name
- Kayla Hartigan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2017
- Certification date
- Feb 26, 2025
- Last updated
- Feb 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
5800 Godfrey RdGodfrey, IL 62035-2426
Phone 847-315-0338
Mailing address
2824 Norwood LnGodfrey, IL 62035-1716
Phone 847-315-0338
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