Individual
ASHLEY KUCHENBUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
180 N ADELAIDE ST, NORMAL, IL 61761-2404
(513) 702-7887
Mailing address
120 MCKNIGHT DR UNIT L4, NORMAL, IL 61761-1596
(513) 702-7887
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.005425
IL
Other
Enumeration date
12/17/2018
Last updated
03/15/2023
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