Amy Lynne Burton, ATC

Individual provider Active NPI Athletic Trainer · Arkansas City, KS

NPI 1104873397 · NPPES record last updated Nov 21, 2014

Key facts

NPI
1104873397
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
415 (OK)
Practice address
1200 W Radio LN
Athletic Training Room
Arkansas City, KS 67005-4001
Phone
(620) 441-2010
NPI assigned
May 31, 2006
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
415OKMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 415 OK Yes

Addresses

Primary practice location

1200 W Radio LN
Athletic Training Room
Arkansas City, KS 67005-4001

Mailing address

1200 W Radio LN
Athletic Training Room
Arkansas City, KS 67005-4001
Phone (620) 441-2010

Other names

  • Miss Amy Lynne Shipman Former name

Other providers in Arkansas City, KS

All providers in Arkansas City, KS · Athletic Trainer in Kansas

Sources for this page

Verify at the official NPI Registry.