Individual
KRISTI D WEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
507 E CHERRY ST, P0 BOX 27, ROBINSON, IL 62454-3305
(217) 259-2006
Mailing address
507 E CHERRY ST, P0 BOX 27, ROBINSON, IL 62454-3305
(217) 259-2006
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096001812
IL
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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