IndividualActive
Alexa Blatt, ATC
NPI 1528435955 · Athletic Trainer · Normal, IL
Provider details
- NPI number
- 1528435955
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 096.004046 (IL)
Mailing address
709 S Main St
Normal, IL 61761-4477
Registry dates
- Enumerated
- 2015-09-02
- Last updated
- 2015-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.