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Mr. Jason Emil Wulf, LATC,CSCS
Specialist in Normal, Illinois
NPI 1427026533

Jason Emil Wulf is a Specialist based in Normal, IL. Jason Emil Wulf practices in Normal, IL and has the professional credentials of LATC,CSCS. The NPI Number for Jason Emil Wulf is 1427026533 and holds a License No. 96002168 (Illinois).

The current practice location address for Jason Emil Wulf is 211 Horton Fieldhouse, Normal, IL and can be reached out via phone at 309-438-3284.

Location: 211 Horton Fieldhouse, Normal, IL, 61761-2867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427026533
Provider Name
Jason Emil Wulf
Credential
LATC,CSCS
Provider Entity Type
Individual
Gender
Male
Address
211 Horton Fieldhouse, Normal, IL, 61761-2867
Phone Number
309-438-3284
Fax Number
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
211 Horton Fieldhouse
City
Normal
State
Illinois
Zip
61790-0001
Phone Number
309-438-3284
Fax Number
person
Provider Business Mailing Address Details
Address
211 Horton Fieldhouse
City
Normal
State
Illinois
Zip
61790-0001
Phone Number
309-438-3284
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
96002168 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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