Payton Lee
Specialist/Technologist, Athletic Trainer in Las Vegas, NV. Individual provider (NPI-1).
NPI number1669237293
StatusActive
Last updated in NPPESFeb 13, 2024
Details
- NPI
- 1669237293
- Entity type
- Individual (NPI-1)
- Name
- Payton Lee
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2024
- Certification date
- Feb 13, 2024
- Last updated
- Feb 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
3663 W Cactus Ave Unit 1025Las Vegas, NV 89141-8877
Phone 808-779-9011
Mailing address
3663 W Cactus Ave Unit 1025Las Vegas, NV 89141-8877
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