KATIE LYNN SPENCER LISKO

BOLINGBROOK, IL
NPI1912399791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.0032998)
Enumeration Date2015-03-03
Last Update Date2016-02-05
Business Address
-- KATIE LYNN SPENCER LISKO ATC
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 855-692-8478
Mailing Address
-- KATIE LYNN SPENCER LISKO ATC
713 STRATFORD DR E APT 12
BOURBONNAIS, IL 60914-1777
Phone number: 906-430-0208