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

Kenta Mizumoto

Individual provider Athletic Trainer · NPI 1063129617

Kenta Mizumoto is an Athletic Trainer in Lexington, Kentucky. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

720 Sports Center Dr
Lexington, KY 40506-1298
Phone: (859) 539-4746
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1063129617
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 2, 2022
Last updated in NPPESMay 18, 2024
Certification dateMay 18, 2024

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