IndividualActive
Brandon Lewis, ATC
NPI 1083115257 · Athletic Trainer · Emporia, KS
Provider details
- NPI number
- 1083115257
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1 Kellogg Cir Apt 301
Emporia, KS 66801-5087
Phone: (620) 341-5021
Approximate (ZIP-level) locationGet directions
Mailing address
1925 W 24th Ave Apt 301
Emporia, KS 66801-5793
Registry dates
- Enumerated
- 2018-02-23
- Last updated
- 2020-02-21
- Certified
- 2020-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.