NPI 1013050046

Rebecca Anne Wildermuth, MSATCCSCS

Practitioner Athletic Trainer Gibson City, IL

Practice location

Address: 10 Doctors Park, Gibson City, IL 60936
Phone: (217) 784-2650
Fax: (217) 784-8023
Mailing address: 301 E Willow St, Normal, IL 61761

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Illinois →

Registry record

NPI: 1013050046
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Feb 2007
Record last updated: 8 Jul 2007

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.