IndividualActive
Andrea Legg, MS, ATC, LAT
NPI 1356732002 · Athletic Trainer · Mustang, OK
Provider details
- NPI number
- 1356732002
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ATC, LAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- AT4686 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4401 S Czech Hall Rd
Mustang, OK 73064-9571
Phone: (505) 249-6925
Approximate (ZIP-level) locationGet directions
Mailing address
513 Sequoia Dr
Garland, TX 75041-5156
Registry dates
- Enumerated
- 2015-02-16
- Last updated
- 2023-01-17
- Certified
- 2023-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.