Individual
MR. TERRY LEE GEIRNAEIRT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1101 W COLLEGE AVE, JACKSONVILLE, IL 62650-2212
(217) 245-3397
(217) 245-3398
Mailing address
1217 MAPLE ST, JACKSONVILLE, IL 62650-1104
(217) 245-3397
(217) 245-3398
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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