Healthcare Provider Details

I. General information

NPI: 1609260322
Provider Name (Legal Business Name): DANIEL ALMEKINDER MS, LAT, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2015
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 N ADELAIDE ST
NORMAL IL
61761-2404
US

IV. Provider business mailing address

PO BOX 1074
BLOOMINGTON IL
61702-1074
US

V. Phone/Fax

Practice location:
  • Phone: 309-438-0646
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number096.005437
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: