Katie Mae Herington, ATC
Individual provider Active NPI Athletic Trainer · Mount Sterling, IL
NPI 1972994465 · NPPES record last updated Feb 5, 2015
Key facts
- NPI
- 1972994465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 096.003599 (IL)
- Practice address
- 1 Dot Way
Mount Sterling, IL 62353-1664 - Phone
- (217) 773-4411
- Fax
- (217) 773-4903
- NPI assigned
- Feb 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096.003599 | IL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096.003599 | IL | Yes |
Addresses
Primary practice location
1 Dot Way
Mount Sterling, IL 62353-1664
Mailing address
1 Dot Way
Mount Sterling, IL 62353-1664
Phone (217) 773-4411
Other providers in Mount Sterling, IL
- Laura Garrett
- Nikki Gragg
- Sandra Ham
- Sydney E Hawley
- James Breckinridge Heaton II
- Heritage Manor - Mt Sterling, LLC
- Heritage Manor - Mt. Sterling
- Nancy J Hoemann
- Jeri Howell
- International Eyecare Center Inc
All providers in Mount Sterling, IL · Athletic Trainer in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.