Individual
EMMA LEDBETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N UNIVERSITY ST, NORMAL, IL 61761-4402
(574) 309-0778
Mailing address
509 GRANT ST, NORMAL, IL 61761-1510
(574) 309-0778
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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