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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS MICHAELA ELIZABETH DESANTIS, ATC

Active

MISS MICHAELA ELIZABETH DESANTIS, ATC is a Athletic Trainer healthcare provider located in CHARLESTON, Illinois. NPI 1093241887 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · CHARLESTON, IL

Registration Details

NPI Number
1093241887
Provider Type
Individual
Gender
Female
NPI Issued
May 11, 2017 (9.2321684414467 yrs)
Last Updated
May 11, 2017
License
096004270 (IL)

Practice Information

Address
600 LINCOLN AVE
CHARLESTON, IL, 619203011
Browse IL providers · Browse ZIP 61920
Phone
2175813811
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in CHARLESTON, IL

Name Credential NPI
LEE ANN PRICE ATC 1659344240
MRS. JENNIFER LYNN STASKIEWICZ ATC 1487774212
GINGER CANDICE SOUTH ATC 1952529307
MRS. AMANDA DIANNE GOUGH MS, ATC 1710213178
MRS. TIFFANY LOUISE GREEN ATC 1558635219
HEIDI J MCKEAN ATC 1770835027
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.