Emily Dierking, LAT, ATC
NPI #1023834397 in Glen Ellyn, Illinois
Provider Information
- NPI Number
- 1023834397
- Entity Type
- Individual
- Name
- Emily Dierking, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Dec 2, 2024
- Last Updated
- Dec 2, 2024
Practice Location
- Address
- 425 FAWELL BLVD
- City
- Glen Ellyn
- State
- Illinois
- ZIP Code
- 60137-6708
- Phone
- (630) 942-2545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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