Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXIS JASMINE MAXWELL
Active Sole ProprietorALEXIS JASMINE MAXWELL is a Athletic Trainer healthcare provider located in CREVE COEUR, Illinois. NPI 1043953839 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CREVE COEUR, IL
Registration Details
- NPI Number
- 1043953839
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2022 (4.301944793579 yrs)
- Last Updated
- Jun 30, 2022
- License
-
AT006660 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
225 MARQUETTE STCREVE COEUR, IL, 616103924Browse IL providers · Browse ZIP 61610
- Phone
- 3096784807
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
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.