Individual
MS. SAMANTHA L WELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
110 HORTON FIELDHOUSE, NORMAL, IL 61790-7130
(309) 438-3340
Mailing address
19 TRADERS CIRCLE, 257, NORMAL, IL 61761
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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