MRS. Stacey Weathers-Cannon
NPI #1538771076 in Calumet City, Illinois
Provider Information
- NPI Number
- 1538771076
- Entity Type
- Individual
- Name
- MRS. Stacey Weathers-Cannon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Aug 17, 2020
- Last Updated
- Aug 17, 2020
Practice Location
- Address
- 650 INGRAHAM AVE
- City
- Calumet City
- State
- Illinois
- ZIP Code
- 60409-4236
- Phone
- (708) 546-8208
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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