NPI 1063976397

Callista Anastasia Manos, ATC

Practitioner Athletic Trainer Naperville, IL

Practice location

Address: 640 Nanak CT, Naperville, IL 60565-3365
Phone: (630) 240-5350

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: 1063976397
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2019
Record last updated: 7 Mar 2021

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.