Individual
MRS. TAYLOR THIEME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
951 ESSINGTON RD, JOLIET, IL 60435-8427
(815) 744-4551
Mailing address
951 ESSINGTON RD, JOLIET, IL 60435-8427
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004031
IL
Other
Enumeration date
10/03/2016
Last updated
07/01/2024
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