NPI 1134493042

Andrew Vannatta, CO

Practitioner Orthotist Effingham, IL

Practice location

Address: 1303 W Evergreen Ave Suite 101, Effingham, IL 62401-1619
Phone: (217) 342-3400
Fax: (217) 342-3477

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 213000290 (IL)

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Registry record

NPI: 1134493042
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Feb 2012
Record last updated: 11 May 2017

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.