Dylan Stichter

Athletic Trainer · Rockford, IL

Individual Active NPI

NPI number 1508596032

Practice location

3458 Prairie Flower Cir
Rockford, IL 61114-6768
Phone
(815) 275-6453

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NPI record

NPI
1508596032
Entity type
Individual (Type 1)
Enumeration date
June 16, 2022
Last updated
June 16, 2022
Certified
June 16, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 096.004510 IL

About Dylan Stichter

Dylan Stichter is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 3458 Prairie Flower Cir, Rockford, IL 61114-6768. The NPI number 1508596032 was assigned on June 16, 2022 and the record was last updated on June 16, 2022.

Dylan Stichter lists a license in the registry: #096.004510 (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 Dylan Stichter?

The NPI number is 1508596032.

What is the phone number of Dylan Stichter?

The phone number listed for the practice location is (815) 275-6453.

Where is Dylan Stichter located?

3458 Prairie Flower Cir, Rockford, IL 61114-6768.

What is the taxonomy code for Dylan Stichter?

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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