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Contact Information

OLIVIA VITA FARNSWORTH, MS, LAT, ATC
288 LAKEVIEW DRIVE
MISSISSIPPI STATE UNIVERSITY, MS39762
 Phone: 662-325-2165
 Fax: 662-325-5145
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for OLIVIA VITA FARNSWORTH · (Female)

NPI Number 1497163422
Status Active
Credentials MS, LAT, ATC
Entity Individual
Enumeration date 07/22/2014
Last updated 07/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MS License # A992
  • VA License # 0126003204
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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