Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALLEN WAYNE MARDIS, ATC
ActiveALLEN WAYNE MARDIS, ATC is a Athletic Trainer healthcare provider located in CARBONDALE, Illinois. NPI 1336339324 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CARBONDALE, IL
Registration Details
- NPI Number
- 1336339324
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2007 (19.04621916161 yrs)
- Last Updated
- Nov 7, 2013
Practice Information
- Address
-
1490 DOUGLAS DRMC 6620CARBONDALE, IL, 629014332Browse IL providers · Browse ZIP 62901
- Phone
- 5704921784
- Fax
- 6184534173
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CARBONDALE, IL
| Name | Credential | NPI |
|---|---|---|
| MR. DONALD L HOWARD | ATC, PTA | 1588630594 |
| MR. BRADLEY C. BRUSH | A.T.C., C.S.C.S. | 1013985613 |
| MR. EDWARD BRENT THOMPSON | ATC | 1336117795 |
| MS. DEBRA KAY FITZL | ATC, LAT | 1306806401 |
| MS. ELIZABETH BROWN FEUTZ | ATC, LAT,CSCS | 1619937612 |
| JOHN E MASSIE | ATC, LAT | 1043346372 |
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.