Whitney Edwards

NPI #1225432628 in Bourbonnais, Illinois

Provider Information

NPI Number: 1225432628
Entity Type: Individual
Name: Whitney Edwards
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 14, 2014
Last Updated: Oct 14, 2014

Practice Location

Address: 230 E BETHEL DR
City: Bourbonnais
State: Illinois
ZIP Code: 60914-1453
Phone: (815) 955-0373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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