Noah Mikael Davis, MS, LAT, ATC
NPI #1407646805 in Charleston, Illinois
Provider Information
- NPI Number
- 1407646805
- Entity Type
- Individual
- Name
- Noah Mikael Davis, MS, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, LAT, ATC
- Enumeration Date
- May 8, 2025
- Last Updated
- May 8, 2025
Practice Location
- Address
- 600 LINCOLN AVE
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-3099
- Phone
- (618) 554-8410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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