Individual provider · Type 1 NPI

Mark Allen Chisum, ATC LAT

Athletic Trainer · Lubbock, TX

NPI number 1790900405 Active

Practice location

237 Genoa Avenue
Lubbock, TX 79416

Call (806) 742-5111 Map

Fax (806) 742-4265

Mailing address

237 Genoa Ave
Lubbock, TX 79416-1707

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300XATO692 (TX)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1790900405

Mark Allen Chisum, ATC LAT's National Provider Identifier is 1790900405, issued on Apr 16, 2007. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Lubbock, TX. The record was last updated on Jul 9, 2007.