Individual
MCKINSEY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2406 E EMPIRE ST, BLOOMINGTON, IL 61704-3630
(309) 663-9300
Mailing address
PO BOX 185, WASHINGTON, IL 61571-0185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096005822
IL
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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