MRS. Melissa Kristine Vangiesen, MS, ATC

NPI #1427022250 in Centralia, Illinois

Provider Information

NPI Number
1427022250
Entity Type
Individual
Name
MRS. Melissa Kristine Vangiesen, MS, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MS, ATC
Enumeration Date
Feb 16, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
400 N PLEASANT AVE
ZIP Code
62801-3056
Phone
(618) 436-8641

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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