Healthcare Provider Details

I. General information

NPI: 1508259631
Provider Name (Legal Business Name): KAREN JACQUELINE HARRINGTON M.S.S.,A.T.,A.T.,C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2015
Last Update Date: 03/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4811 RINGLE RD
AKRON MI
48701-9726
US

IV. Provider business mailing address

4811 RINGLE RD
AKRON MI
48701-9726
US

V. Phone/Fax

Practice location:
  • Phone: 989-691-5468
  • Fax:
Mailing address:
  • Phone: 989-691-5468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: