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

Joshua Glenn Lewis

Individual provider Athletic Trainer · NPI 1063292829

Joshua Glenn Lewis is an Athletic Trainer in Hurlburt Field, Florida. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2023

Practice location Address checks out

1ST Special Operations Medical Group
Hurlburt Field, FL 32544
Phone: (850) 641-2337
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1458 (TN)

Record details

NPI number1063292829
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 29, 2023
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 28, 2023
Mailing address520 Promise Land Rd, Charlotte, TN 37036-5405

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