Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DREW ALEXANDER POTTER, ATC, LAT
Active Sole ProprietorDREW ALEXANDER POTTER, ATC, LAT is a Athletic Trainer healthcare provider located in LOVES PARK, Illinois. NPI 1578955704 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LOVES PARK, IL
Registration Details
- NPI Number
- 1578955704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 25, 2015 (11.437008160527 yrs)
- Last Updated
- Dec 16, 2015
- License
-
096.004114 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4530 CROMWELL CTLOVES PARK, IL, 611113915Browse IL providers · Browse ZIP 61111
- Phone
- 8157424392
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LOVES PARK, IL
| Name | Credential | NPI |
|---|---|---|
| LEAH JANKOWSKI | M.ED, ATC | 1336546308 |
| JASON LUBBEN | ATC | 1033516893 |
| MEAGAN ELIZABETH QUINN | MS, LAT, ATC | 1740077080 |
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.