Christopher Pratt Mecherle
Individual provider Active NPI Athletic Trainer · Clinton, IL
NPI 1083170542 · NPPES record last updated Mar 9, 2020
Key facts
- NPI
- 1083170542
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 408 W South St
Clinton, IL 61727-2103 - Phone
- (217) 937-5224
- NPI assigned
- Feb 20, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
408 W South St
Clinton, IL 61727-2103
Mailing address
3208 Brennan LN
Bloomington, IL 61704-2752
Phone (309) 838-1831
Other providers in Clinton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.