Nathan Lewis, ATC, LAT
NPI #1649875576 in Itta Bena, Mississippi
Provider Information
- NPI Number
- 1649875576
- Entity Type
- Individual
- Name
- Nathan Lewis, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Nov 30, 2020
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 14000 HIGHWAY 82 W
- City
- Itta Bena
- State
- Mississippi
- ZIP Code
- 38941-1401
- Phone
- (334) 357-1543
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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