KATHLEEN BUCKINGHAM

DECATUR, IL
NPI1235570268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.003271)
Enumeration Date2013-07-06
Last Update Date2013-07-06
Business Address
-- KATHLEEN BUCKINGHAM ATC
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-5970
Mailing Address
-- KATHLEEN BUCKINGHAM ATC
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: