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

Individual provider Athletic Trainer · NPI 1770716284

Jeremy Shane Lewis, ATC is an Athletic Trainer in Tempe, Arizona. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1025 E Broadway Rd Ste 100
Tempe, AZ 85282-1599
Phone: (480) 829-0217
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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 number1770716284
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedAugust 31, 2009
Last updated in NPPESAugust 31, 2009

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