Individual
NATALIE R MECKSTROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
1525 W LINCOLN HWY, DEKALB, IL 60115-3989
(815) 753-9477
(815) 753-1402
Mailing address
1525 W LINCOLN HWY, DEKALB, IL 60115-3989
(815) 753-9477
(815) 753-1402
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002187
IL
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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