Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS MIKAYLA MICOLE DAMMERMAN
Active Sole ProprietorMISS MIKAYLA MICOLE DAMMERMAN is a Athletic Trainer healthcare provider located in COBDEN, Illinois. NPI 1750735957 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · COBDEN, IL
Registration Details
- NPI Number
- 1750735957
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 14, 2016 (10.314299973544 yrs)
- Last Updated
- Apr 14, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
105 KRATZINGER HOLLOW RDCOBDEN, IL, 629203780Browse IL providers · Browse ZIP 62920
- Phone
- 6186978173
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.