Elizabeth Brianne Tully

NPI #1255846978 in Plainfield, Illinois

Provider Information

NPI Number: 1255846978
Entity Type: Individual
Name: Elizabeth Brianne Tully
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 4, 2017
Last Updated: Dec 4, 2017

Practice Location

Address: 2215 CARPENTER AVE
City: Plainfield
State: Illinois
ZIP Code: 60586-5038
Phone: (815) 342-5944

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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