Individual
JERICA NITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ACSM-RCEP
Contact information
Practice address
209 9TH ST, ROCKFORD, IL 61104-2235
(779) 696-5863
Mailing address
13157 SPRINGHILL DR, WINNEBAGO, IL 61088-8047
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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