NPI 1700283561

Stephanie Crutchfield

Practitioner Athletic Trainer McHenry, IL

Practice location

Address: 3701 W Saint Paul Ave, McHenry, IL 60050-5623
Phone: (815) 735-3408

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 096.003588 (IL)

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Registry record

NPI: 1700283561
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Nov 2014
Record last updated: 21 Nov 2014

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.