ALEXA BLATT

NORMAL, IL
NPI1528435955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.004046)
Enumeration Date2015-09-02
Last Update Date2015-09-02
Business Address
-- ALEXA BLATT ATC
180 N ADELAIDE ST
NORMAL, IL 61761-2404
Phone number: 309-438-3340
Mailing Address
-- ALEXA BLATT ATC
709 S MAIN ST APT 413
NORMAL, IL 61761-4477
Phone number: 818-631-1564
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