Tina Marie Veile, ATC
Individual provider Active NPI Athletic Trainer · Pittsfield, IL
NPI 1215201728 · NPPES record last updated Mar 1, 2012
Key facts
- NPI
- 1215201728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 096.002679 (IL)
- Practice address
- 128 W Washington St
Pittsfield, IL 62363-1441 - Phone
- (217) 491-5936
- NPI assigned
- Mar 1, 2012
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096.002679 | IL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096.002679 | IL | Yes |
Addresses
Primary practice location
128 W Washington St
Pittsfield, IL 62363-1441
Mailing address
424 W Perry St
Pittsfield, IL 62363-1032
Phone (217) 491-5936
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All providers in Pittsfield, IL · Athletic Trainer in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2012. 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.