IndividualActive
Garrett Cannon, MS, LAT, ATC
NPI 1588390033 · Athletic Trainer · College Station, OR
Provider details
- NPI number
- 1588390033
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- AT9141 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
187 Corrington Dr
College Station, OR 77840
Phone: (541) 390-5098
Approximate (ZIP-level) locationGet directions
Mailing address
801 Luther St W Unit 203
College Station, TX 77840-2891
Registry dates
- Enumerated
- 2022-07-27
- Last updated
- 2022-07-27
- Certified
- 2022-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.