YUYA MUKAIHARA

NORMAL, IL
NPI1942625066
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.003468)
Enumeration Date2014-02-26
Last Update Date2014-02-26
Business Address
-- YUYA MUKAIHARA ATC, CSCS
3900 E RAAB RD
NORMAL, IL 61761-9487
Phone number: 541-602-9050
Mailing Address
-- YUYA MUKAIHARA ATC, CSCS
403 GREENBRIAR DR APT 214
NORMAL, IL 61761-6221
Phone number: