NPI 1043677099

Megan Blackburn

Practitioner Athletic Trainer Rockford, IL

Practice location

Address: 5022 Arbutus Rd, Rockford, IL 61107-2402
Phone: (815) 243-2213

Registered specialties (2)

Athletic Trainer Primary

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

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1043677099
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jan 2016
Record last updated: 21 Jan 2016

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.