Olivia Vita-Farnsworth, MS, LAT, ATC
NPI #1497163422 in Mississippi State, Mississippi
Provider Information
- NPI Number
- 1497163422
- Entity Type
- Individual
- Name
- Olivia Vita-Farnsworth, MS, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, LAT, ATC
- Enumeration Date
- Jul 22, 2014
- Last Updated
- Jul 3, 2020
Practice Location
- Address
- 288 LAKEVIEW DRIVE
- State
- Mississippi
- ZIP Code
- 39762
- Phone
- (662) 325-2165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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