Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olivia N Tisckos

Individual provider Athletic Trainer · NPI 1154065670

Olivia N Tisckos is an Athletic Trainer in Normal, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

1122 W Ave Apt 1
Normal, IL 61761-3472
Phone: (217) 971-0937
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 096005607 (IL)

Record details

NPI number1154065670
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 21, 2022
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing address239 Yeoman Dr, Springfield, IL 62704-5246

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