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

Tim Woodstock, ATC

Individual provider Athletic Trainer · NPI 1043743545

Tim Woodstock, ATC is an Athletic Trainer in Belleville, Illinois. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2600 W Main St
Belleville, IL 62226-6651
Phone: (618) 239-6386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2015028487 (MO)

Record details

NPI number1043743545
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedApril 11, 2017
Last updated in NPPESApril 11, 2017
Mailing address8818 Ione Ln, Saint Louis, MO 63123-6422

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