Individual
SHERRIE KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1900 E LAKE SHORE DR, DECATUR, IL 62521-3824
(217) 464-5970
Mailing address
72 JIBBY ESTS, SULLIVAN, IL 61951-6612
(618) 334-0967
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002488
IL
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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