NPI 1043496664

Megan Nixon

Practitioner Athletic Trainer Peoria, IL

Practice location

Address: 1501 W Bradley Ave, Peoria, IL 61625-0001
Phone: (309) 677-2983

Registered specialties

Athletic Trainer Primary

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

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Registry record

NPI: 1043496664
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jan 2008
Record last updated: 14 Jan 2008

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.