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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERT MICHAEL SUPER, LAT, COF

Active Sole Proprietor

ROBERT MICHAEL SUPER, LAT, COF is a Athletic Trainer healthcare provider located in PLANO, Texas. NPI 1982838496 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PLANO, TX

Registration Details

NPI Number
1982838496
Provider Type
Individual
Gender
Male
NPI Issued
May 12, 2009 (17.282578774704 yrs)
Last Updated
Apr 27, 2014
Licenses
OF000004 (PA)
RT005787 (PA)
Sole Proprietor
Yes

Practice Information

Address
1255 W 15TH ST STE 540
PLANO, TX, 750757248
Browse TX providers · Browse ZIP 75075
Phone
4108453929
Fax
9727673728
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in PLANO, TX

Name Credential NPI
MR. LESTER STEPHEN SMITH ATC, LAT, CSCS 1275558173
MRS. KRISTINE DOMINO STEVENS A.T.C., L.A.T. 1457360125
MR. ROBERT RAY LUEDTKE ATC,LAT 1922010412
MR. COREY TAYLOR SMITH ATC, L 1245344522
KIM SEGAL LAT 1225137508
MR. BRYAN S. PARFREY MED,LAT,ATC. 1316071657
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.