Tanner Dean Forrest, ATC
Individual provider Active NPI Athletic Trainer · Fort Scott, KS
NPI 1154885556 · NPPES record last updated May 30, 2019
Key facts
- NPI
- 1154885556
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 2108 Horton St
Fort Scott, KS 66701-3141 - Phone
- (620) 704-0888
- NPI assigned
- Jan 30, 2019
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
2108 Horton St
Fort Scott, KS 66701-3141
Mailing address
709 N Cayuga St
Frontenac, KS 66763-2072
Phone (620) 704-0888
Other practice location 1
609 E Cherry St
Room 160
Springfield, MO 65807-6580
Phone (620) 704-0888
Other providers in Fort Scott, KS
- Eye Center of Fort Scott
- Eye Center of Fort Scott
- Rory Dirk Eyring
- Kelly K Ferguson
- Mary Jo Flint
- Fort Scott Chiropractic LLC
- Fort Scott Family Medicine
- Fort Scott Family Medicine, P.a.
- Fort Scott Usd 234
- Destiny Denise Foulk
All providers in Fort Scott, KS · Athletic Trainer in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2019. 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.