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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOLLY COCKERHAM, ATC

Active Sole Proprietor

MOLLY COCKERHAM, ATC is a Athletic Trainer healthcare provider located in MAHOMET, Illinois. NPI 1043694524 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MAHOMET, IL

Registration Details

NPI Number
1043694524
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2015 (11.04276007631 yrs)
Last Updated
Jul 15, 2015
License
AT002762 (GA)
Sole Proprietor
Yes

Practice Information

Address
1805 DEER RUN DR
MAHOMET, IL, 618533682
Browse IL providers · Browse ZIP 61853
Phone
2178408686
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MAHOMET, IL

Name Credential NPI
LORENA OLIVER ATC, LAT 1821407511
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.