Alexis J Amato, LAT, ATC
Individual provider Active NPI Athletic Trainer · Deridder, LA
NPI 1972019529 · NPPES record last updated Dec 19, 2017
Key facts
- NPI
- 1972019529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 303132 (LA)
- Practice address
- 600 S Pine St
Deridder, LA 70634-4942 - Phone
- (337) 396-2071
- NPI assigned
- Dec 19, 2017
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303132 | LA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 303132 | LA | Yes |
Addresses
Primary practice location
600 S Pine St
Deridder, LA 70634-4942
Mailing address
1439 Highway 3226
Deridder, LA 70634-9131
Phone (985) 517-0383
Other providers in Deridder, LA
- Michelle W Adams
- Advantage Health Primary Care LLC
- Advantage Health Urgent Care LLC
- Hamid Alipour
- Allegiance Home Health of Southwest Louisiana, LLC
- James Christian Armetta
- Ashley McCoy
- Erik Lewis Bailey
- James M Bailey Jr.
- Bardin Dermatology, LLC
All providers in Deridder, LA · Athletic Trainer in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 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.