Joshua Glenn Lewis
Specialist/Technologist, Athletic Trainer in Hurlburt Field, FL. Individual provider (NPI-1).
NPI number1063292829
StatusActive
Last updated in NPPESSep 29, 2023
Details
- NPI
- 1063292829
- Entity type
- Individual (NPI-1)
- Name
- Joshua Glenn Lewis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2023
- Certification date
- Sep 28, 2023
- Last updated
- Sep 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1458 | TN | Yes |
Practice location
1st Special Operations Medical GroupHurlburt Field, FL 32544
Phone 850-641-2337
Mailing address
520 Promise Land RdCharlotte, TN 37036-5405
Phone 615-823-0721
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Other Athletic Trainer providers in Hurlburt Field, FL
- Alexandra EdwardsNPI 1942747498
- Ellie Goldense, LAT, ATCNPI 1952982415
- Christopher James Monroe, ATCNPI 1851802540
- Ashley F Ramsay, ATCNPI 1447985114
- Shane Reilly, ATCNPI 1245638808
- Brian Alexander Reyes, LAT, ATCNPI 1730635376
All 7 Athletic Trainer providers in Hurlburt Field · All 284 providers in Hurlburt Field
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