Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDY ALLAN BALLARD, ATC
Active Sole ProprietorMR. RANDY ALLAN BALLARD, ATC is a Athletic Trainer healthcare provider located in CHAMPAIGN, Illinois. NPI 1710375712 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1710375712
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 30, 2014 (11.582324910413 yrs)
- Last Updated
- Dec 30, 2014
- License
-
096.001564 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3112 VALERIE DRCHAMPAIGN, IL, 618221831Browse IL providers · Browse ZIP 61822
- Phone
- 2177668137
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| KRISTEN M STREETER | ATC | 1083609903 |
| MR. ERIC MICHAEL STREETER | MS, ATC | 1083609648 |
| MS. MELINDA FLEGEL | ATC | 1306810189 |
| MR. PAUL D SCHMIDT | ATC | 1659331379 |
| MRS. KAREN ANNETTE IEHL-MORSE | ATC | 1417918913 |
| MR. RICHARD JEAN | A.T.C. | 1043227614 |
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.