Individual
KELSEY JANELLE BRANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., ATC
Contact information
Practice address
1627 4TH ST, PERU, IL 61354-3507
(815) 223-4479
(815) 223-4489
Mailing address
1627 4TH ST, PERU, IL 61354-3507
(815) 223-4479
(815) 223-4489
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003670
IL
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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