Individual
MR. TENSHI FURUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
ONE UNIVERSITY PLAZA, UNIV. OF ILLINOIS-SPRINGFIELD, MS REC 2004, SPRINGFIELD, IL 62703
(217) 206-7597
(217) 206-7111
Mailing address
ONE UNIVERSITY PLAZA, UNIV. OF ILLINOIS-SPRINGFIELD, MS REC 2004, SPRINGFIELD, IL 62703
(217) 206-7597
(217) 206-7111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003704
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000003658
NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION
—
Enumeration date
05/15/2012
Last updated
11/04/2016
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