Individual
JANELLE KIRILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., A.T.C, L.A.T
Contact information
Practice address
901 S NATIONAL AVE, SPRINGFIELD, MO 65897-0027
(417) 836-5461
Mailing address
5468 MORNINGVIEW TER, BRIGHTON, MI 48114-7575
(734) 812-6442
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2015019753
MO
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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