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

PAM RADTKE, DT

Active

PAM RADTKE, DT is a Athletic Trainer healthcare provider located in BELLEVILLE, Illinois. NPI 1184783607 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BELLEVILLE, IL

Registration Details

NPI Number
1184783607
Provider Type
Individual
Gender
Female
NPI Issued
Dec 8, 2006 (19.704751708756 yrs)
Last Updated
Sep 11, 2025

Practice Information

Address
1306 WABASH AVE
BELLEVILLE, IL, 622203370
Browse IL providers · Browse ZIP 62220
Phone
6182346876
Fax
6182346150
Primary Specialty
Athletic Trainer
225500000X
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.