Andrea Kay Legg, MS, ATC, LAT
Specialist/Technologist, Athletic Trainer in Mustang, OK. Individual provider (NPI-1).
NPI number1356732002
StatusActive
Last updated in NPPESJan 17, 2023
Details
- NPI
- 1356732002
- Entity type
- Individual (NPI-1)
- Name
- Andrea Kay Legg
- Credential
- MS, ATC, LAT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 16, 2015
- Certification date
- Jan 17, 2023
- Last updated
- Jan 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT680 | OK | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT4686 | TX |
Practice location
4401 S Czech Hall RdMustang, OK 73064-9571
Phone 505-249-6925
Mailing address
513 Sequoia DrGarland, TX 75041-5156
Phone 505-249-6925
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