Britni Oswalt, LAT, ATC

Individual provider Active NPI Athletic Trainer · Emory, TX

NPI 1013453240 · NPPES record last updated Jan 11, 2017

Key facts

NPI
1013453240
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
2000017089 (TX)
Practice address
903 E Lennon Dr
Emory, TX 75440-5229
Phone
(903) 474-4724
NPI assigned
Jan 11, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2000017089TXMDAthletic Trainer
AT6162TXMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT6162 TX
Athletic Trainer 2255A2300X 2000017089 TX Yes

Addresses

Primary practice location

903 E Lennon Dr
Emory, TX 75440-5229

Mailing address

PO Box 594
Emory, TX 75440-0594
Phone (903) 474-4724

Other providers in Emory, TX

All providers in Emory, TX · Athletic Trainer in Texas

Sources for this page

Verify at the official NPI Registry.