Individual
MORGAN ELIZABETH DEPLANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
215 N MAIN ST, NORMAL, IL 61761
(309) 438-8671
Mailing address
1170 E 625 N, MARSHALL, IN 47859-8885
(765) 592-2889
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004499
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096004499
LICENSED ATHLETIC TRAINER
IL
Enumeration date
02/09/2019
Last updated
02/09/2019
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