NPI 1629551312

Tanner Shultz

Practitioner Clinical Exercise Physiologist Winfield, IL

Practice location

Address: 27w157 Walnut Dr, Winfield, IL 60190-2051
Phone: (630) 390-8417

Registered specialties

Clinical Exercise Physiologist Primary

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

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Registry record

NPI: 1629551312
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Sep 2018
Record last updated: 10 Sep 2018

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.