LUKE DETTLO

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1962899443

Practice Address

5N600 IL ROUTE 25
Saint Charles, IL 60174

Phone: (630) 846-8271

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes -

Frequently Asked Questions

NPI 1962899443 is the National Provider Identifier for LUKE DETTLO, a Specialist/Technologist - Athletic Trainer provider located in Saint Charles, IL. This NPI was enumerated on April 22, 2015.
LUKE DETTLO practices at 5N600 IL ROUTE 25, Saint Charles, IL 60174.

Quick Facts

NPI
1962899443
Type
Individual
Enumerated
Apr 22, 2015
Last Updated
Apr 22, 2015

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