Individual provider · Type 1 NPI

Alexander Waldherr, DO

Sports Medicine (Family Medicine) Physician · Olney, IL

NPI number 1457939704 Active

Practice location

504 Micah Dr
Olney, IL 62450-4720

Fax (618) 388-3127

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	02007147B (IN)
Family Medicine Physician	207Q00000X	036.170058 (IL)
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	036.170058 (IL)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

13 other providers at this address

About NPI 1457939704

Alexander Waldherr, DO's National Provider Identifier is 1457939704, issued on Mar 30, 2021. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Olney, IL. The record was last updated on Oct 22, 2025.