Individual provider · NPI-1

Tenshi Furumi, MA, ATC

Specialist/Technologist, Athletic Trainer · Springfield, IL

NPI number1447519111
StatusActive
Last updated in NPPESNov 4, 2016

Details

NPI
1447519111
Entity type
Individual (NPI-1)
Name
Mr. Tenshi Furumi
Credential
MA, ATC
Sex
Male
Sole proprietor
No
Enumeration date
May 15, 2012
Last updated
Nov 4, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer096.003704ILYes

Practice location

One University Plaza, Univ. Of Illinois-Springfield
Ms Rec 2004
Springfield, IL 62703

Phone 217-206-7597 · Fax 217-206-7111

Mailing address

One University Plaza, Univ. Of Illinois-Springfield
Ms Rec 2004
Springfield, IL 62703

Phone 217-206-7597 · Fax 217-206-7111

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