Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ann Peyton Ellis, LAT, ATC

Individual provider Athletic Trainer · NPI 1184152027

Ann Peyton Ellis, LAT, ATC is an Athletic Trainer in Tahlequah, Oklahoma. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

600 N Grand Ave
Tahlequah, OK 74464-2301
Phone: (918) 456-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1184152027
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedMay 23, 2017
Last updated in NPPESMay 23, 2017

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