IndividualActive
Elise Packer
NPI 1861145989 · Athletic Trainer · Davis, IL
Provider details
- NPI number
- 1861145989
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
739 Westmore Rd
Davis, IL 61019-9552
Phone: (815) 494-2385
Approximate (ZIP-level) locationGet directions
Mailing address
739 Westmore Rd
Davis, IL 61019-9552
Registry dates
- Enumerated
- 2022-01-28
- Last updated
- 2022-01-28
- Certified
- 2022-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.