Elissa Morales-Villanueva, MAT, ATC
Specialist/Technologist, Athletic Trainer in Rockford, IL. Individual provider (NPI-1).
NPI number1003524554
StatusActive
Last updated in NPPESOct 4, 2023
Details
- NPI
- 1003524554
- Entity type
- Individual (NPI-1)
- Name
- Elissa Morales-Villanueva
- Credential
- MAT, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2022
- Certification date
- Oct 4, 2023
- Last updated
- Oct 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
5620 Spring Creek RdRockford, IL 61114-6442
Phone 815-654-4870
Mailing address
2005 Grenshaw StRockford, IL 61101-4234
Phone 815-668-3544
Other practice locations
1450 Alta Vista St
Dubuque, IA 52001-4327
Dubuque, IA 52001-4327
Phone 779-772-3187
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All 33 Athletic Trainer providers in Rockford · All 5,035 providers in Rockford
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