Individual provider · Type 1 NPI
Michael Charles West, MS, ATC, LAT
Specialist · Austin, TX
NPI number
1922406255
Active
Practice location
2139 San Jacinto Blvd, University Of Texas Athletics, Nez B1.024A
Austin, TX 78712
Fax (512) 232-5054
Mailing address
PO Box 7399, University Of Texas Athletics
Austin, TX 78713-7399
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | AT4175 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1922406255
Michael Charles West, MS, ATC, LAT's National Provider Identifier is 1922406255, issued on Dec 19, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Austin, TX. The record was last updated on Dec 19, 2014.