Individual
JULIE WILLMERT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
205 E NORTH H ST, GAS CITY, IN 46933-1147
(765) 674-2248
Mailing address
242 SHERMAN ST, WABASH, IN 46992-1112
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001161A
IN
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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