Bryan Joseph Domitrz, ATC, LAT
Bryan Joseph Domitrz, ATC, LAT is an Athletic Trainer in Normal, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2021
What do these letters mean?
Practice location Address checks out
501 N Parkside RdNormal, IL 61761-2780
Phone: (309) 557-4402
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 096.004969 (IL) |
|---|
Record details
| NPI number | 1871186304 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ATC , LAT |
| Sole proprietor | Yes |
| NPI enumerated | February 16, 2021 |
| Last updated in NPPES | February 16, 2021 |
| Certification date | February 16, 2021 |
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