Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY BLAKE REVETTE, MS, ATC
ActiveGREGORY BLAKE REVETTE, MS, ATC is a Athletic Trainer healthcare provider located in CENTRE, Alabama. NPI 1114533023 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CENTRE, AL
Registration Details
- NPI Number
- 1114533023
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2020 (5.864529383768 yrs)
- Last Updated
- Sep 17, 2020
- License
-
1093 (AL)
Practice Information
- Address
-
910 WARRIOR DRCENTRE, AL, 359601099Browse AL providers · Browse ZIP 35960
- Phone
- 6014798614
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.