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LUKE JAMES DETTLO
NPI 1962899443
Specialist/Technologist - Athletic Trainer in Saint Charles, IL

Active since April 22, 2015
5N600 IL ROUTE 25, SAINT CHARLES, IL 60174(630) 846-8271 Get Directions Write a Review

NPPES record last updated: April 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luke James Dettlo NPPES

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

LUKE JAMES DETTLO (NPI 1962899443) is an individual athletic trainer provider in Saint Charles, Illinois and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1962899443
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameLUKE JAMES DETTLO
Location Address5N600 IL ROUTE 25Saint Charles, IL 60174-5613
Mailing Address5n600 Il Route 25Saint Charles, IL 60174-5613 · (630) 846-8271
Phone(630) 846-8271
Sole ProprietorYes
Enumeration DateApril 22, 2015
✔ NPI 1962899443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5N600 IL ROUTE 25, Saint Charles, IL 60174
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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 Luke Dettlo's NPI number?

The NPI number for Luke Dettlo is 1962899443. It was assigned to this individual provider in the NPPES registry on April 22, 2015.

Where is Luke Dettlo located?

Luke Dettlo practices at 5n600 Il Route 25, Saint Charles, IL 60174. The listed phone number is (630) 846-8271.

What is Luke Dettlo'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 Luke Dettlo was last updated on April 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.