IndividualActive
Garrett Kelson, ATC
NPI 1053036301 · Athletic Trainer · Danvers, IL
Provider details
- NPI number
- 1053036301
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 096.004558 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
302 E Park St
Danvers, IL 61732-9330
Phone: (309) 242-1242
Approximate (ZIP-level) locationGet directions
Mailing address
302 E Park St
Danvers, IL 61732-9330
Registry dates
- Enumerated
- 2022-10-10
- Last updated
- 2022-10-10
- Certified
- 2022-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.