Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYNN HACKNEY, ATC, LAT
Active Sole ProprietorBRYNN HACKNEY, ATC, LAT is a Athletic Trainer healthcare provider located in O FALLON, Illinois. NPI 1184114878 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · O FALLON, IL
Registration Details
- NPI Number
- 1184114878
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2018 (8.2092201235502 yrs)
- Last Updated
- May 17, 2018
- License
-
096.004050 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 S SMILEY STO FALLON, IL, 622692316Browse IL providers · Browse ZIP 62269
- Phone
- 6186323507
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| SHELBY KAY THIEMS | — | 1265957195 |
| KATHERINE BRADLEY | ATC | 1073104881 |
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.