NPI 1003524554

Elissa Morales-Villanueva, MATATC

Practitioner Athletic Trainer Rockford, IL

Practice location

Address: 5620 Spring Creek Rd, Rockford, IL 61114-6442
Phone: (815) 654-4870
Mailing address: 2005 Grenshaw St, Rockford, IL 61101-4234

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1003524554
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Nov 2022
Record last updated: 4 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.