DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JASON EMIL WULF, LATC, CSCS

Active

MR. JASON EMIL WULF, LATC, CSCS is a Specialist healthcare provider located in NORMAL, Illinois. NPI 1427026533 is currently active in the NPPES registry. Verify at CMS.

Specialist · NORMAL, IL

Registration Details

NPI Number
1427026533
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2006 (20.409975424095 yrs)
Last Updated
Jul 8, 2007
License
96002168 (IL)

Practice Information

Address
211 HORTON FIELDHOUSE
NORMAL, IL, 617900001
Browse IL providers · Browse ZIP 61790
Phone
3094383284
Primary Specialty
Specialist
174400000X

Other Specialist Providers in NORMAL, IL

Name Credential NPI
MS. KATHLEEN ANNE SCHNIEDWIND ATC 1205989472
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.