Individual
MISS AMY KATHLEEN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
302 W EMERSON ST, BLOOMINGTON, IL 61701-1612
(309) 556-3601
Mailing address
1302 N LEE ST, BLOOMINGTON, IL 61701-1643
(610) 704-3692
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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