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
ZIP Code
61920-3011
Phone
(217) 581-3811

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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