Tanner Patrick Krumwiede, MS, LAT, ATC
NPI #1063156180 in Jerseyville, Illinois
Provider Information
- NPI Number
- 1063156180
- Entity Type
- Individual
- Name
- Tanner Patrick Krumwiede, MS, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, LAT, ATC
- Enumeration Date
- Apr 25, 2022
- Last Updated
- Apr 25, 2022
Practice Location
- Address
- 800 N STATE
- City
- Jerseyville
- State
- Illinois
- ZIP Code
- 62052-6205
- Phone
- (618) 498-5521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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