Destiny Angton, ME.D, LAT
Individual provider Active NPI Athletic Trainer · Palestine, TX
NPI 1942945928 · NPPES record last updated Sep 1, 2022
Key facts
- NPI
- 1942945928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT8514 (TX)
- Practice address
- 1600 S Loop 256
Palestine, TX 75801-5847 - Phone
- (903) 731-8005
- NPI assigned
- May 3, 2022
- 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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT8514 | TX | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT8514 | TX | Yes |
Addresses
Primary practice location
1600 S Loop 256
Palestine, TX 75801-5847
Mailing address
100 Damon Allen Way Apt 5105
Palestine, TX 75801-0021
Phone (214) 724-2087
Other practice location 1
100 Damon Allen Way Apt 5105
Palestine, TX 75801-0021
Phone (214) 724-2087
Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2022. 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.