Individual
KRISTEN LAGALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177 MCCORMICK HALL ILLINOIS STATE UNIVERSITY, NORMAL, IL 61790-0001
(309) 438-3229
Mailing address
250 MCCORMICK HALL ILLINOIS STATE UNIVERSITY, NORMAL, IL 61790-5120
(309) 438-3229
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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