Camden Cripe, ATC

Individual provider Active NPI Athletic Trainer · Oreana, IL

NPI 1154877652 · NPPES record last updated Aug 25, 2016

Key facts

NPI
1154877652
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
7 View Cir
Oreana, IL 62554-9775
Phone
(217) 972-1884
NPI assigned
Aug 25, 2016
Sex
Male
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

7 View Cir
Oreana, IL 62554-9775

Mailing address

7 View Cir
Oreana, IL 62554-9775
Phone (217) 972-1884

Other providers in Oreana, IL

All providers in Oreana, IL · Athletic Trainer in Illinois

Sources for this page

Verify at the official NPI Registry.