Individual
MRS. TIFFANY KATHRYN WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
725 TROTTER DR, COAL CITY, IL 60416-2431
(815) 634-3707
Mailing address
725 TROTTER DR, COAL CITY, IL 60416-2431
(815) 634-3707
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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