MS. Karissa Diller, LAT, ATC

NPI #1205343878 in Normal, Illinois

Provider Information

NPI Number
1205343878
Entity Type
Individual
Name
MS. Karissa Diller, LAT, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC
Enumeration Date
Jan 4, 2018
Last Updated
Jan 4, 2018

Practice Location

Address
1905 CRESTMOOR COVE CC CT
City
Normal
ZIP Code
61761-5352
Phone
(815) 674-0814

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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