NPI 1790594711 · live from the CMS NPI Registry
Premed Transit LLC
Specialist/Technologist, Athletic Trainer in Wichita, KS. National Provider Identifier 1790594711, active.
NPI record
| NPI | 1790594711 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Specialist/Technologist, Athletic Trainer 2255A2300X |
| Practice location | 4518 S Mount Carmel Cir, Wichita, KS 67217 |
| Practice phone | 562-416-7780 |
| Enumerated | January 3, 2025 |
| Last updated | January 3, 2025 |
| Authorized official | Christopher Hollie, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist/Technologist, Athletic Trainer primary | 2255A2300X | — |
| Massage Therapist | 225700000X | — |
| Secured Medical Transport (VAN) | 343800000X | — |
| Non-emergency Medical Transport (VAN) | 343900000X | — |
| Private Vehicle | 347C00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.