Search › Illinois › 2255A2300X
Tanner Krumwiede, MS, LAT, ATC
NPI 1063156180 · on the registry since 2022 · sole proprietor
Practice
- Address
- 800 N State
Jerseyville, IL 62052 - Phone
- (618) 498-5521
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois