Search › Illinois › 2255A2300X
Brynn Hackney, ATC, LAT
NPI 1184114878 · on the registry since 2018 · sole proprietor
Practice
- Address
- 600 S Smiley St
O Fallon, IL 62269 - Phone
- (618) 632-3507
- Organisation at this address
- O'Fallon Township High School Dist 203
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois