Individual
RYANNE MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N PARKSIDE RD, NORMAL, IL 61761-2780
(307) 202-1735
Mailing address
229 ROBINHOOD LN, APT. 3, BLOOMINGTON, IL 61701-3434
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003803
IL
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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