SAMANTHA L WELTER

NORMAL, IL
NPI1649492539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.002311)
Enumeration Date2007-05-02
Last Update Date2007-07-08
Business Address
Ms. SAMANTHA L WELTER ATC
110 HORTON FIELDHOUSE
NORMAL, IL 61790-7130
Phone number: 309-438-3340
Mailing Address
Ms. SAMANTHA L WELTER ATC
19 TRADERS CIRCLE 257
NORMAL, IL 61761
Phone number:
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