Individual
ELIZABETH ROSE GEISTLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1241 HOVEY AVE APT 24, NORMAL, IL 61761-5127
(217) 649-4551
Mailing address
1241 HOVEY AVE APT 24, NORMAL, IL 61761-5127
(217) 649-4551
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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