Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tim Woodstock, ATC

Individual provider Athletic Trainer · NPI 1043743545

Tim Woodstock, ATC is an Athletic Trainer in Belleville, Illinois. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2600 W Main St
Belleville, IL 62226-6651
Phone: (618) 239-6386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2015028487 (MO)

Record details

NPI number1043743545
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedApril 11, 2017
Last updated in NPPESApril 11, 2017

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