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

KATY RENEE GAYFORD, ATC, PHD

Active

KATY RENEE GAYFORD, ATC, PHD is a Athletic Trainer healthcare provider located in LEBANON, Illinois. NPI 1588280200 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LEBANON, IL

Registration Details

NPI Number
1588280200
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2020 (6.1352321942099 yrs)
Last Updated
Jun 18, 2020
License
096001698 (IL)

Practice Information

Address
701 COLLEGE RD
LEBANON, IL, 622541291
Browse IL providers · Browse ZIP 62254
Phone
6185376472
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in LEBANON, IL

Name Credential NPI
PROF. DAWN M. HANKINS PHD, ATC 1013970706
MR. LANCE L RINGHAUSEN ATC 1831531326
AMBER M TREVINO DAT, M.S, ATC, LAT 1922498187
ABIGAIL MAURER ATC 1366823346
KRISTIN VON HATTEN MS, ATC, CSCS 1033662614
JESSICA L HENDERSON ATC 1609399039
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.