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

MR. PATRICK LARRY, ATC

Active

MR. PATRICK LARRY, ATC is a Athletic Trainer healthcare provider located in DECATUR, Illinois. NPI 1205822863 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · DECATUR, IL

Registration Details

NPI Number
1205822863
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2005 (20.716092846579 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
1613 BURNING TREE DR
DECATUR, IL, 625219151
Browse IL providers · Browse ZIP 62521
Phone
2178652637
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in DECATUR, IL

Name Credential NPI
NATHAN TAYLOR SHELSTA ATC 1255326187
MR. JEFFREY BRUCE ROUNDS M.S., A.T.C., L.A.T 1376534636
JOHN RICHARD STORSVED II H.S.D. ATC 1356313225
MR. MATTHEW MUNJOY ATC 1205802964
MS. MINDY E BINGAMON MS, ATC 1386610772
MICHAEL STEPHEN KOCH MS, ATC 1235105404
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.