Individual
TODD A MCLODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, ATC
Contact information
Practice address
208 HORTON, NORMAL, IL 61790-5120
(309) 438-2605
Mailing address
1603 SANDERSON CT, NORMAL, IL 61761-4267
(309) 268-9100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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