Individual
KASEY ALAN THRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
507 E IRVING ST, MILFORD, IL 60953-1141
(815) 592-4936
Mailing address
507 E IRVING STREET, MILFORD, IL 60953
(815) 592-4936
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
T62050193310
IL
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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