Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISE PACKER
Active Sole ProprietorELISE PACKER is a Athletic Trainer healthcare provider located in DAVIS, Illinois. NPI 1861145989 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DAVIS, IL
Registration Details
- NPI Number
- 1861145989
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 28, 2022 (4.525894626312 yrs)
- Last Updated
- Jan 28, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
739 WESTMORE RDDAVIS, IL, 610199552Browse IL providers · Browse ZIP 61019
- Phone
- 8154942385
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.