Search › Illinois › 2255A2300X
Karissa Diller, LAT, ATC
NPI 1205343878 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1905 Crestmoor Cove Cc Ct
Normal, IL 61761 - Phone
- (815) 674-0814
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-01-04
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