NPI 1376135251

Caleb Forehand, ATC

Practitioner Athletic Trainer Hurlburt Field, AP

Practice location

Address: 100 Servais Way, Hurlburt Field, AP 32544
Phone: (850) 884-4661
Mailing address: 100 Servais Way Room 210, Hurlburt Field, FL 32544

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL3109 (FL)

Other Specialist/Technologist providers in Armed Forces Pacific →

Registry record

NPI: 1376135251
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Feb 2021
Record last updated: 11 Feb 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.