Elise Packer

Athletic Trainer · Davis, IL

Individual Active NPI

NPI number 1861145989

Practice location

739 Westmore Rd
Davis, IL 61019-9552
Phone
(815) 494-2385

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NPI record

NPI
1861145989
Entity type
Individual (Type 1)
Enumeration date
January 28, 2022
Last updated
January 28, 2022
Certified
January 14, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — MO

About Elise Packer

Elise Packer is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 739 Westmore Rd, Davis, IL 61019-9552. The NPI number 1861145989 was assigned on January 28, 2022 and the record was last updated on January 28, 2022.

Frequently asked questions

What is the NPI number of Elise Packer?

The NPI number is 1861145989.

What is the phone number of Elise Packer?

The phone number listed for the practice location is (815) 494-2385.

Where is Elise Packer located?

739 Westmore Rd, Davis, IL 61019-9552.

What is the taxonomy code for Elise Packer?

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.