Individual
KRISTEN MARIE BRUMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
ILLINOIS STATE UNIVERSITY, CAMPUS BOX 7130, NORMAL, IL 61790-0001
(309) 438-3284
Mailing address
ILLINOIS STATE UNIVERSITY, CAMPUS BOX 7130, NORMAL, IL 61790-0001
(309) 438-3284
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003149
IL
Other
Enumeration date
02/25/2010
Last updated
03/22/2012
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