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

Individual provider Athletic Trainer · NPI 1649875576

Nathan Lewis, ATC, LAT is an Athletic Trainer in Itta Bena, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2020
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

14000 Highway 82 W
Itta Bena, MS 38941-1401
Phone: (334) 357-1543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (MS)

Record details

NPI number1649875576
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedNovember 30, 2020
Last updated in NPPESJuly 21, 2022
Certification dateNovember 30, 2020