Individual
KRISTIN WILLEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
ILLINOIS STATE UNIVERSITY, CAMPUS BOX 7160, NORMAL, IL 61790-7160
(309) 438-3111
(309) 438-3603
Mailing address
ILLINOIS STATE UNIVERSITY, CAMPUS BOX 7160, NORMAL, IL 61790-7160
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003549
IL
Other
Enumeration date
06/06/2013
Last updated
06/20/2013
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