MISS Michaela Elizabeth Desantis, ATC
NPI #1093241887 in Charleston, Illinois
Provider Information
- NPI Number
- 1093241887
- Entity Type
- Individual
- Name
- MISS Michaela Elizabeth Desantis, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- May 11, 2017
- Last Updated
- May 11, 2017
Practice Location
- Address
- 600 LINCOLN AVE
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-3011
- Phone
- (217) 581-3811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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