Christopher Pratt Mecherle
Specialist/Technologist, Athletic Trainer in Clinton, IL. Individual provider (NPI-1).
NPI number1083170542
StatusActive
Last updated in NPPESMar 9, 2020
Details
- NPI
- 1083170542
- Entity type
- Individual (NPI-1)
- Name
- Christopher Pratt Mecherle
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2019
- Certification date
- Mar 9, 2020
- Last updated
- Mar 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
408 W South StClinton, IL 61727-2103
Phone 217-937-5224
Mailing address
3208 Brennan LnBloomington, IL 61704-2752
Phone 309-838-1831
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