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MR. MARK ALLEN CHISUM ATC LAT
NPI 1790900405
Specialist/Technologist - Athletic Trainer in Lubbock, TX

Active since April 16, 2007
237 GENOA AVENUE, LUBBOCK, TX 79416(806) 742-5111(806) 742-4265 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mark Allen Chisum Atc Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK ALLEN CHISUM ATC LAT (NPI 1790900405) is an individual athletic trainer provider in Lubbock, Texas, licensed in Texas (ATO692) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1790900405
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. MARK ALLEN CHISUMCredential: ATC LAT
Location Address237 GENOA AVENUELubbock, TX 79416
Mailing Address237 Genoa AveLubbock, TX 79416-1707 · (806) 791-5178 · Fax (806) 742-4265
Phone(806) 742-5111
Fax(806) 742-4265
Sole ProprietorYes
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1790900405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in TX · ATO692
Definition
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 advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
237 GENOA AVENUE, Lubbock, TX 79416
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Other Identifiers 1

Medicare UPIN2255A2300XTX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Chisum's NPI number?

The NPI number for Mark Chisum is 1790900405. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Mark Chisum located?

Mark Chisum practices at 237 Genoa Avenue, Lubbock, TX 79416. The listed phone number is (806) 742-5111.

What is Mark Chisum's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Mark Chisum was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.