ANGELINA M WILLS ATC
NPI 1003170622
Specialist in Saint Louis, MO

Q: What is Angelina Wills's NPI number?

The NPI number for Angelina Wills is 1003170622. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Q: What is Angelina Wills's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Angelina Wills was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 28, 2012

3330 LACLEDE AVE, CHAIFETZ ARENA, SAINT LOUIS, MO 63103(314) 977-7018(314) 977-3183 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Angelina M Wills Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELINA M WILLS ATC (NPI 1003170622) is an individual specialist in Saint Louis, Missouri, licensed in Missouri (2005005317) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1003170622

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameANGELINA M WILLSCredential: ATC

Location Address3330 LACLEDE AVE, CHAIFETZ ARENASaint Louis, MO 63103-2014

Mailing Address3330 Laclede Ave, Chaifetz ArenaSaint Louis, MO 63103-2014

Phone(314) 977-7018

Fax(314) 977-3183

Sole ProprietorYes

Enumeration DateJune 28, 2012

✔ NPI 1003170622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MO · 2005005317

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3330 LACLEDE AVE, Saint Louis, MO 63103

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA MANI MAT, ATC, LAT

Specialist/Technologist (Athletic Trainer)

3330 LACLEDE AVE
SAINT LOUIS, MO 63103

St. Louis City (314) 977-4000

TAMARA PASTOR

Specialist/Technologist (Athletic Trainer)

3330 LACLEDE AVE
SAINT LOUIS, MO 63103

St. Louis City (314) 977-7265

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelina Wills's NPI number?

The NPI number for Angelina Wills is 1003170622. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Where is Angelina Wills located?

Angelina Wills practices at 3330 Laclede Ave Chaifetz Arena, Saint Louis, MO 63103. The listed phone number is (314) 977-7018.

What is Angelina Wills's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Angelina Wills was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.