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

Shane Caudill

Individual provider Athletic Trainer · NPI 1073900650

Shane Caudill is an Athletic Trainer in Belleville, Illinois. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
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Practice location Address checks out

2600 W Main St
Belleville, IL 62226-6651
Phone: (618) 239-6109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1073900650
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 21, 2015
Last updated in NPPESApril 21, 2015
Mailing address504 Timothy Ln, Carterville, IL 62918-5045

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