Individual
KRISTEN M STREETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2040 S NEIL ST, CHAMPAIGN, IL 61820-7220
(217) 352-3330
(217) 352-4616
Mailing address
2040 S NEIL ST, CHAMPAIGN, IL 61820-7220
(217) 352-3330
(217) 352-4616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096-001120
IL
Other
Enumeration date
09/16/2005
Last updated
07/23/2014
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