Kelly R Coaty, ATC
NPI #1871843094 in Lincolnshire, Illinois
Provider Information
- NPI Number
- 1871843094
- Entity Type
- Individual
- Name
- Kelly R Coaty, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Sep 14, 2012
- Last Updated
- Sep 25, 2012
Practice Location
- Address
- 100 VILLAGE GRN
- Address 2
- SUITE 120 B
- City
- Lincolnshire
- State
- Illinois
- ZIP Code
- 60069-3094
- Phone
- (847) 634-2317
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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