IndividualActive
Alexis Gholston, LAT, ATC
NPI 1356804314 · Athletic Trainer · Cheney, WA
Provider details
- NPI number
- 1356804314
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- A160913495 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
207 Physical Education Building
Cheney, WA 99004-2476
Phone: (509) 598-0978
Approximate (ZIP-level) locationGet directions
Mailing address
201 Betz Rd Apt 221
Cheney, WA 99004-9182
Registry dates
- Enumerated
- 2019-04-08
- Last updated
- 2019-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.