Individual provider · Type 1 NPI
Jason Emil Wulf, LATC, CSCS
Specialist · Normal, IL
NPI number
1427026533
Active
Practice location
211 Horton Fieldhouse
Normal, IL 61790-0001
Mailing address
1216 Searle Dr
Normal, IL 61761-2867
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 96002168 (IL) |
Specialist: 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.
Other specialist providers in Normal
About NPI 1427026533
Jason Emil Wulf, LATC, CSCS's National Provider Identifier is 1427026533, issued on Mar 14, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Normal, IL. The record was last updated on Jul 13, 2026.