NPI 1003104258

Whitney T Lee, ATC

Practitioner Athletic Trainer Fort Walton Beach, FL

Practice location

Address: 133 Magnolia Ave SE, Fort Walton Beach, FL 32548-7266
Phone: (623) 435-6300
Mailing address: 8045 N 47th Ave, Glendale, AZ 85302-6402

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0876 (AZ)

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Registry record

NPI: 1003104258
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2011
Record last updated: 10 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.