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Mr. CYLE WILLIAM ANDERSON LAT, ATC

Individual Provider (NPI-1) Active

Specialist/Technologist, Athletic Trainer

Provider Information

NPI Number
1326747122
Provider Type
Individual Provider (NPI-1)
Credentials
LAT, ATC
Status
Active

Contact & Location

Address
1750 E LAKE SHORE DR # LL1, DECATUR, IL, 625213803
Phone
(217) 464-1459
Fax
(217) 464-1476

Specialties & Taxonomies

Specialist/Technologist, Athletic Trainer Primary License: IL #096.003125

All Addresses

MAILING

1521 W SUNSET AVE

DECATUR, IL, 625222741

(217) 972-1219

LOCATION

1750 E LAKE SHORE DR # LL1

DECATUR, IL, 625213803

(217) 464-1459