NPI 1215367750

Blair Thomas Gorsuch, MS

Practitioner Clinical Exercise Physiologist Peoria, IL

Practice location

Address: 6501 N Sheridan Rd, Peoria, IL 61614-2932
Phone: (309) 621-4106
Fax: (309) 621-4194

Registered specialties

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X

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Registry record

NPI: 1215367750
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Nov 2013
Record last updated: 20 Nov 2013

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.