MR. Kenneth Hackman, MA., ATC., LAT

NPI #1033520614 in Upland, Indiana

Provider Information

NPI Number
1033520614
Entity Type
Individual
Name
MR. Kenneth Hackman, MA., ATC., LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MA., ATC., LAT
Enumeration Date
May 16, 2014
Last Updated
May 16, 2014

Practice Location

Address
236 W READE AVE
City
Upland
State
Indiana
ZIP Code
46989-1001
Phone
(765) 998-4780

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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