Search › Illinois › 2255A2300X
Tyler Krogh, MA, LAT, ATC
NPI 1811412844 · on the registry since 2017
Practice
- Address
- 1600 W Main St
Peoria, IL 61606 - Phone
- (319) 429-1194
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-14
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