Noah Mikael Davis, MS, LAT, ATC

Athletic Trainer · Charleston, IL

Individual Active NPI

NPI number 1407646805

Practice location

600 Lincoln Ave
Charleston, IL 61920-3099
Phone
(618) 554-8410

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NPI record

NPI
1407646805
Entity type
Individual (Type 1)
Enumeration date
May 8, 2025
Last updated
May 8, 2025
Certified
May 8, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — IL

Mailing address

2020 10TH St Apt 102
Charleston, IL 61920-3436
Phone
(618) 554-8410

About Noah Davis

Noah Mikael Davis, MS, LAT, 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 61920-3099. The NPI number 1407646805 was assigned on May 8, 2025 and the record was last updated on May 8, 2025.

Frequently asked questions

What is the NPI number of Noah Mikael Davis, MS, LAT, ATC?

The NPI number is 1407646805.

What is the phone number of Noah Davis?

The phone number listed for the practice location is (618) 554-8410.

Where is Noah Davis located?

600 Lincoln Ave, Charleston, IL 61920-3099.

What is the taxonomy code for Noah Davis?

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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