NPI 1003209743

Kasey Alan Thrush

Practitioner Athletic Trainer Milford, IL

Practice location

Address: 507 E Irving St, Milford, IL 60953-1141
Phone: (815) 592-4936
Mailing address: 507 E Irving Street, Milford, IL 60953

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence T62050193310 (IL)

Other Specialist/Technologist providers in Illinois →

Registry record

NPI: 1003209743
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Mar 2015
Record last updated: 5 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.