NPI 1457677155

Dustin Ray Lenorman, ATC

Practitioner Athletic Trainer Willis, TX

Practice location

Address: 5102 Sleepy PT, Willis, TX 77318-7918
Phone: (936) 577-7368

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT3866 (TX)

Other Specialist/Technologist providers in Texas →

Registry record

NPI: 1457677155
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2010
Record last updated: 20 Apr 2010

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.