Michaela Elizabeth Desantis, ATC

Athletic Trainer · Charleston, IL

Individual Active NPI

NPI number 1093241887

Practice location

600 Lincoln Ave
Charleston, IL 61920-3011
Phone
(217) 581-3811

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NPI record

NPI
1093241887
Entity type
Individual (Type 1)
Enumeration date
May 11, 2017
Last updated
May 11, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 096004270 IL

About Michaela Desantis

Michaela Elizabeth Desantis, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 600 Lincoln Ave, Charleston, IL 61920-3011. The NPI number 1093241887 was assigned on May 11, 2017 and the record was last updated on May 11, 2017.

Michaela Desantis lists a license in the registry: #096004270 (IL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michaela Elizabeth Desantis, ATC?

The NPI number is 1093241887.

What is the phone number of Michaela Desantis?

The phone number listed for the practice location is (217) 581-3811.

Where is Michaela Desantis located?

600 Lincoln Ave, Charleston, IL 61920-3011.

What is the taxonomy code for Michaela Desantis?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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