Individual provider · Type 1 NPI

Leah Mae Pataki, M.A., ATC, CWT

Athletic Trainer · Rockford, IL

NPI number 1790754422 Active

Practice location

3301 N Mulford Rd
Rockford, IL 61114-5640

Fax (815) 921-3829

Mailing address

7080 Sue Ct
Loves Park, IL 61111-5369

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300XNone listed

Athletic Trainer: 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 advanc…

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About NPI 1790754422

Leah Mae Pataki, M.A., ATC, CWT's National Provider Identifier is 1790754422, issued on Mar 15, 2006. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Rockford, IL. The record was last updated on Jul 13, 2026.