Langston Michael Asiatico, MS, LAT, ATC
Individual provider Active NPI Athletic Trainer · Nicholasville, KY
NPI 1669019840 · NPPES record last updated Aug 6, 2021
Key facts
- NPI
- 1669019840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 801 E Brannon Rd Unit 227
Nicholasville, KY 40356-6094 - Phone
- (270) 300-4926
- NPI assigned
- Dec 5, 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
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | KY | Yes |
Addresses
Primary practice location
801 E Brannon Rd Unit 227
Nicholasville, KY 40356-6094
Mailing address
801 E Brannon Rd Unit 227
Nicholasville, KY 40356-6094
Phone (270) 300-4926
Other providers in Nicholasville, KY
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- Stephen M Applegate
- Benjamin W Arnold
- Arrow Dental PLLC
- Ats Services, Inc.
- Courtney Blane Atzinger
- B & T Transportation, LLC
- Rachel Back
- William Clark Bailey III
All providers in Nicholasville, KY · Athletic Trainer in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2021. 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.