Melissa Kristine Vangiesen in Centralia - Athletic Trainer

Melissa Kristine Vangiesen - NPI 1427022250

Melissa Kristine Vangiesen is a Athletic Trainer in Centralia, Illinois. Melissa Kristine Vangiesen practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Melissa Kristine Vangiesen is 1427022250. The last update date is 2007-07-08.

Melissa Kristine Vangiesen's current location address is 400 N Pleasant Ave, Centralia, Illinois. You can contact this provider via phone number 6184368641. The mailing address for Melissa Kristine Vangiesen is 400 N Pleasant Ave, Centralia, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Melissa Kristine Vangiesen
Address 400 N Pleasant Ave, Centralia, Illinois
Phone Number 6184368641
Fax Number
Sole Proprietor N
Credentials MS, ATC

NPI Number Detail

NPI Number 1427022250
Provider Enumeration Date 2006-02-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 400 N Pleasant Ave
City Centralia
State Illinois (IL)
Post Code 628013056
Phone Number 6184368641
Fax Number

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Licence No 96002127
Definition:
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve

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FAQs about Melissa Kristine Vangiesen

What is the Melissa Kristine Vangiesen's 1427022250?

The Melissa Kristine Vangiesen's NPI (National Provider Identifier) Number is 1427022250. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Melissa Kristine Vangiesen's facilities are situated?

The facilities of Melissa Kristine Vangiesen are physically located at the following address: 400 N Pleasant Ave, Centralia, IL, 628013056.

What is Melissa Kristine Vangiesen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Melissa Kristine Vangiesen's specialized field of practice is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of specialization is 2255A2300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1427022250 to Melissa Kristine Vangiesen?

The Centers for Medicare & Medicaid Services assigned the 1427022250 to Melissa Kristine Vangiesen on 2006-02-16.

As of what date was the information regarding Melissa Kristine Vangiesen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Melissa Kristine Vangiesen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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