NPI 1194228387

James David Schaefer, MSATC

Practitioner Athletic Trainer Bloomington, IL

Practice location

Address: 302 E Emerson St, Bloomington, IL 61701-1768
Phone: (309) 556-3340
Mailing address: 2212 13th Street, Peru, IL 61354

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 096002933 (IL)

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Registry record

NPI: 1194228387
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2018
Record last updated: 14 Mar 2018

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.