NATHAN LEWIS

ITTA BENA, MS
NPI1649875576
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2020-11-30
Last Update Date2022-07-21
Business Address
NATHAN LEWIS ATC, LAT
14000 HIGHWAY 82 W
ITTA BENA, MS 38941-1401
Phone number: 334-357-1543
Mailing Address
NATHAN LEWIS ATC, LAT
2380 UNION GROVE RD
SWEET WATER, AL 36782-3934
Phone number: 334-357-1543