Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GINA WIESBROCK, ATC
Active Sole ProprietorGINA WIESBROCK, ATC is a Athletic Trainer healthcare provider located in PERU, Illinois. NPI 1033241807 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PERU, IL
Registration Details
- NPI Number
- 1033241807
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 9, 2007 (19.396107106725 yrs)
- Last Updated
- Jul 8, 2007
- License
-
96001397 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1627 4TH STPERU, IL, 613543507Browse IL providers · Browse ZIP 61354
- Phone
- 8152287939
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PERU, IL
| Name | Credential | NPI |
|---|---|---|
| STEVE KORSAN | MS, ATC | 1447375258 |
| KELSEY JANELLE BRANNAN | M.S., ATC | 1275075590 |
| TREVOR SAMOLINSKI | LAT | 1366273633 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.