NPI 1124414842

Jeremy Clausen, ATCCSCS

Practitioner Athletic Trainer Rockford, IL

Practice location

Address: 6626 N Meridian Rd, Rockford, IL 61101-7879
Phone: (815) 988-8808

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in Illinois →

Registry record

NPI: 1124414842
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2015
Record last updated: 17 May 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.