Individual
JENNIFER LEE SHURTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
3631 S 6TH ST, SPRINGFIELD, IL 62703-4777
(217) 535-3685
Mailing address
805 RUTH AVE, SPRINGFIELD, IL 62702-4841
(217) 619-1905
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002603
IL
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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