MS. Kathleen M Mayberry, ATC
NPI #1487275285 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1487275285
- Entity Type
- Individual
- Name
- MS. Kathleen M Mayberry, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- May 3, 2020
- Last Updated
- May 3, 2020
Practice Location
- Address
- 515 ROANOKE DR
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-2521
- Phone
- (618) 980-5605
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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