Calista Taylor Enosa, BA
Individual provider Active NPI Athletic Trainer · Cheney, WA
NPI 1326655481 · NPPES record last updated Sep 23, 2020
Key facts
- NPI
- 1326655481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 526 5TH St
Cheney, WA 99004-1619 - Phone
- (509) 359-6200
- NPI assigned
- Sep 23, 2020
- 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
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | WA | Yes |
Addresses
Primary practice location
526 5TH St
Cheney, WA 99004-1619
Mailing address
620 W 7TH St Apt 3F
Cheney, WA 99004-2471
Phone (360) 789-6786
Other providers in Cheney, WA
- Andrea Durham
- Joshua Thomas Duryea
- Cheyanne Louise Eide
- Wyatt Ekstrom
- Kristen Alisse Emert
- Erickson Therapy Services PLLC
- Elijah Fischer
- Susan Dorene Fisher
- Ashley Flannery
- Jessica Anne Fuqua
All providers in Cheney, WA · Athletic Trainer in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2020. 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.