Emma Marie Whisker
Individual provider Active NPI Athletic Trainer · Gridley, IL
NPI 1639718570 · NPPES record last updated Dec 23, 2019
Key facts
- NPI
- 1639718570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 105 Boulder Dr
Gridley, IL 61744-9271 - Phone
- (309) 310-2278
- NPI assigned
- Dec 23, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
105 Boulder Dr
Gridley, IL 61744-9271
Mailing address
105 Boulder Dr
Gridley, IL 61744-9271
Phone (309) 310-2278
Other providers in Gridley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2019. 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.