NPI 1083115257

Brandon M Lewis, ATC

Practitioner Athletic Trainer Emporia, KS

Practice location

Address: 1 Kellogg Cir APT 301, Emporia, KS 66801-5087
Phone: (620) 341-5021
Mailing address: 1925 W 24th Ave APT 301, Emporia, KS 66801-5793

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Kansas →

Registry record

NPI: 1083115257
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2018
Record last updated: 21 Feb 2020

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.