THAD WALKER

NORMAL, IL
NPI1982004628
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096002562)
Enumeration Date2014-08-29
Last Update Date2014-08-29
Business Address
-- THAD WALKER ATC,
3007 WOLF CREEK LN
NORMAL, IL 61761-9631
Phone number: 309-846-2404
Mailing Address
-- THAD WALKER ATC,
3007 WOLF CREEK LN
NORMAL, IL 61761-9631
Phone number: 309-846-2404
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