Individual
REBECCA KATHERINE NATION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1402 S 1ST ST, CHAMPAIGN, IL 61820-6916
(618) 610-2818
Mailing address
1402 S 1ST ST, CHAMPAIGN, IL 61820-6916
(618) 610-2818
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.005938
IL
2255A2300X
Athletic Trainer
2000034532
IL
2255A2300X
Athletic Trainer
Primary
328198
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000034532
BOC
IL
Enumeration date
04/26/2019
Last updated
06/16/2026
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