Individual provider · NPI-1

Kathryn Suzanne Hermanas, ATC, LAT

Specialist/Technologist, Athletic Trainer · Palos Heights, IL

NPI number1952847972
StatusActive
Last updated in NPPESJan 13, 2017

Details

NPI
1952847972
Entity type
Individual (NPI-1)
Name
Kathryn Suzanne Hermanas
Credential
ATC, LAT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 13, 2017
Last updated
Jan 13, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer096.004292ILYes

Practice location

12213 S 69th Ct
Palos Heights, IL 60463-1638

Phone 708-691-7458

Mailing address

12213 S. 69th Court
Palos Heights, IL 60463-1638

Phone 708-691-7458

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