NPI 1013318658

Michael Walker, ATC

Practitioner Athletic Trainer Sycamore, IL

Practice location

Address: 913 Penny Ln, Sycamore, IL 60178-1250
Phone: (219) 218-2095

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 096.003863 (IL)

Other Specialist/Technologist providers in Illinois →

Registry record

NPI: 1013318658
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Sep 2014
Record last updated: 18 Nov 2014

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.