Individual
NAOMI GILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 O DONNELL DR, CHAMPAIGN, IL 61821-7404
(217) 840-4893
Mailing address
2204 O DONNELL DR, CHAMPAIGN, IL 61821-7404
(217) 840-4893
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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