Individual
GAGE WEATHERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W KING ST, FAIRFIELD, IL 62837-1710
(618) 842-2649
Mailing address
206 E SCOTT ST, OLNEY, IL 62450-2017
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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