Luke James Dettlo
Luke James Dettlo is an Athletic Trainer in Saint Charles, Illinois. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
5N600 Il Route 25Saint Charles, IL 60174-5613
Phone: (630) 846-8271
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1962899443 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 22, 2015 |
| Last updated in NPPES | April 22, 2015 |
| Mailing address | 5n600 Il Route 25, Saint Charles, IL 60174-5613 |
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