KEVIN NORMAN REISECK

ALTON, IL
NPI1649231838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096001209)
Enumeration Date2006-03-29
Last Update Date2007-07-08
Business Address
Mr. KEVIN NORMAN REISECK ATC, CSCS
1 MEMORIAL DR
ALTON, IL 62002-6722
Phone number: 618-463-7529
Mailing Address
Mr. KEVIN NORMAN REISECK ATC, CSCS
454 FLORIDA DR
EAST ALTON, IL 62024-1820
Phone number: 618-259-7322
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