NPI 1104056316

David Bartelt, ATCOTC

Practitioner Athletic Trainer Sycamore, IL

Practice location

Address: 2111 Midlands CT, Sycamore, IL 60178-3125
Phone: (815) 758-0000
Fax: (815) 758-0094
Mailing address: 1952 Aberdeen CT, Sycamore, IL 60178-3175

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 096002794 (IL)

Other Specialist/Technologist providers in Illinois →

Other Specialist/Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X

Other Specialist/Technologist, Other providers in Illinois →

Registry record

NPI: 1104056316
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2009
Record last updated: 3 Apr 2015

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.