TANYA NADINE EIKSTADT

ROCKFORD, IL
NPI1689789299
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096---001875)
Enumeration Date2006-08-21
Last Update Date2022-07-21
Business Address
Mrs. TANYA NADINE EIKSTADT MS. Ed, ATC
5510 E STATE ST
ROCKFORD, IL 61108-2381
Phone number: 815-395-4505
Mailing Address
Mrs. TANYA NADINE EIKSTADT MS. Ed, ATC
1827 N CHURCH ST
ROCKFORD, IL 61103-4620
Phone number: 815-871-4859
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