Individual
KASEY ZIBTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
600 N COLLEGE AVE, GENESEO, IL 61254-1091
(309) 945-0375
Mailing address
600 N COLLEGE AVE, GENESEO, IL 61254-1091
(309) 945-0375
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003721
IL
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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