Connor S Lewis
Connor S Lewis is an Athletic Trainer in Fort Worth, Texas. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
5829 Waltham AveFort Worth, TX 76133-2717
Phone: (480) 550-1805
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1194430991 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 17, 2023 |
| Last updated in NPPES | December 13, 2023 |
| Certification date | December 13, 2023 |
| Mailing address | 5829 Waltham Ave, Fort Worth, TX 76133-2717 |
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