Individual
STACY LYNN FELDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
448 CHRIS DR, SPRINGFIELD, IL 62711-6351
(217) 299-5499
Mailing address
448 CHRIS DR, SPRINGFIELD, IL 62711-6351
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002199
IL
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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