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MRS. STACEY WEATHERS-CANNON
NPI 1538771076
Specialist/Technologist - Athletic Trainer in Calumet City, IL

Active since August 17, 2020
650 INGRAHAM AVE, CALUMET CITY, IL 60409(708) 546-8208 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Stacey Weathers-cannon NPPES

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

MRS. STACEY WEATHERS-CANNON (NPI 1538771076) is an individual athletic trainer provider in Calumet City, Illinois and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1538771076
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMRS. STACEY WEATHERS-CANNON
Location Address650 INGRAHAM AVECalumet City, IL 60409-4236
Mailing AddressPo Box 647Lansing, IL 60438-0647 · (708) 546-8208
Phone(708) 546-8208
Sole ProprietorNo
Enumeration DateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
✔ NPI 1538771076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Also ListedDevelopmental TherapistTaxonomy 222Q00000X
650 INGRAHAM AVE, Calumet City, IL 60409
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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 Stacey Weathers-cannon's NPI number?

The NPI number for Stacey Weathers-cannon is 1538771076. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Stacey Weathers-cannon located?

Stacey Weathers-cannon practices at 650 Ingraham Ave, Calumet City, IL 60409. The listed phone number is (708) 546-8208.

What is Stacey Weathers-cannon's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Stacey Weathers-cannon was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.