Christopher Ray Douthit, M.A., ATC, LAT
Individual provider Active NPI Athletic Trainer · Cherryvale, KS
NPI 1710426317 · NPPES record last updated Feb 15, 2017
Key facts
- NPI
- 1710426317
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 24-00932 (KS)
- Practice address
- 330 E 2ND St
Cherryvale, KS 67335-1403 - Phone
- (620) 330-7207
- NPI assigned
- Feb 15, 2017
- Sex
- Male
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-00932 | KS | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 24-00932 | KS | Yes |
Addresses
Primary practice location
330 E 2ND St
Cherryvale, KS 67335-1403
Mailing address
330 E 2ND St
Cherryvale, KS 67335-1403
Phone (620) 330-7207
Other providers in Cherryvale, KS
- Cherryvale Care Center
- Cherryvale Management, LLC
- City of Cherryvale
- Angela Dick
- Belle Dickens
- Elesha B Draeger
- DRS Eastep and Brown
- Phillip Ben Eastep
- Charles Spencer Evans Lombe
- Scott Brandon Fox
All providers in Cherryvale, 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 Feb 15, 2017. 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.