Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUKE JAMES DETTLO
Active Sole ProprietorLUKE JAMES DETTLO is a Athletic Trainer healthcare provider located in SAINT CHARLES, Illinois. NPI 1962899443 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SAINT CHARLES, IL
Registration Details
- NPI Number
- 1962899443
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 22, 2015 (11.274074139269 yrs)
- Last Updated
- Apr 22, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
5N600 IL ROUTE 25SAINT CHARLES, IL, 601745613Browse IL providers · Browse ZIP 60174
- Phone
- 6308468271
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SAINT CHARLES, IL
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN LANDERS HONCHARUK | ATC | 1508853151 |
| SARAH MARTINEZ | — | 1336519669 |
| AMANDA NICOLE PASSAGLIA | — | 1750818423 |
| MRS. KRISTIN E BAUDER | LAT, ATC | 1881243327 |
| BRITTANY SELINA JOHNSON | — | 1992347371 |
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.