Kanya Montavius Lewis Valid NPI

Individual provider · Athletic Trainer · Chamblee, GA

NPI

1184366817

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

2000050191 (GA)

Sex

Male

Sole proprietor

No

Enumerated

2022-04-12

Last updated

2022-04-12