Luke James Dettlo
Athletic Trainer · Saint Charles, IL
NPI number
1962899443
Practice location
5n600 Il Route 25Saint Charles, IL 60174-5613
- Phone
- (630) 846-8271
NPI record
- NPI
- 1962899443
- Entity type
- Individual (Type 1)
- Enumeration date
- April 22, 2015
- Last updated
- April 22, 2015
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
About Luke Dettlo
Luke James Dettlo is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 5n600 Il Route 25, Saint Charles, IL 60174-5613. The NPI number 1962899443 was assigned on April 22, 2015 and the record was last updated on April 22, 2015.
Frequently asked questions
What is the NPI number of Luke James Dettlo?
The NPI number is 1962899443.
What is the phone number of Luke Dettlo?
The phone number listed for the practice location is (630) 846-8271.
Where is Luke Dettlo located?
5n600 Il Route 25, Saint Charles, IL 60174-5613.
What is the taxonomy code for Luke Dettlo?
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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