Individual
BRETT PENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
614 W POLK AVE, APT 2, CHARLESTON, IL 61920-1795
(217) 317-1984
Mailing address
614 W POLK AVE, APT 2, CHARLESTON, IL 61920-1795
(217) 317-1984
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003064
IL
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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