NPI 1053764407

Latifah Teyonna Reid, ATCLAT

Practitioner Athletic Trainer Bolingbrook, IL

Practice location

Address: 790 Remington Blvd, Bolingbrook, IL 60440-4909
Phone: (630) 296-2223
Fax: (630) 759-9510
Mailing address: 7230 Sansom St, Upper Darby, PA 19082-3405

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence RT006405 (PA)

Other Specialist/Technologist providers in Illinois →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence J3-0000664 (DE)

Registry record

NPI: 1053764407
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jul 2016
Record last updated: 8 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.