Savannah Burks, ATC
Individual provider Active NPI Athletic Trainer · Lawrence, KS
NPI 1114389079 · NPPES record last updated Mar 22, 2016
Key facts
- NPI
- 1114389079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 24-00970 (KS)
- Practice address
- 1651 Naismith Dr
Athletic Training Room
Lawrence, KS 66045-4069 - Phone
- (785) 331-8610
- NPI assigned
- Mar 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-00970 | KS | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 24-00970 | KS | Yes |
Addresses
Primary practice location
1651 Naismith Dr
Athletic Training Room
Lawrence, KS 66045-4069
Mailing address
2300 Wakarusa Dr
Apt #O5
Lawrence, KS 66047-3353
Phone (512) 734-3610
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.