IndividualActive
Adam Kokenzie, ATC, LAT, MAT
NPI 1497536171 · Athletic Trainer · Southlake, TX
Provider details
- NPI number
- 1497536171
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT, MAT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2000015534 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
800 N White Chapel Blvd
Southlake, TX 76092-5141
Phone: (903) 235-4373
Approximate (ZIP-level) locationGet directions
Mailing address
7216 Cross Keys Dr
North Richland Hills, TX 76182-6056
Registry dates
- Enumerated
- 2023-10-10
- Last updated
- 2023-10-10
- Certified
- 2023-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.