Robert Michael Super, LAT, COF

Athletic Trainer · Plano, TX

Individual Active NPI

NPI number 1982838496

Practice location

1255 W 15TH St Ste 540
Plano, TX 75075-7248
Phone
(410) 845-3929
Fax
(972) 767-3728

Open in Google Maps

NPI record

NPI
1982838496
Entity type
Individual (Type 1)
Enumeration date
May 12, 2009
Last updated
April 27, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X RT005787 PA
Orthotic Fitter 225000000X OF000004 PA

Mailing address

5571 Easton Rd.
Pipersville, PA 18947
Phone
(410) 845-3929

About Robert Super

Robert Michael Super, LAT, COF is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1255 W 15TH St Ste 540, Plano, TX 75075-7248. The NPI number 1982838496 was assigned on May 12, 2009 and the record was last updated on April 27, 2014.

Robert Super lists 2 licenses in the registry: #RT005787 (PA) for Athletic Trainer; #OF000004 (PA) for Orthotic Fitter. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Michael Super, LAT, COF?

The NPI number is 1982838496.

What is the phone number of Robert Super?

The phone number listed for the practice location is (410) 845-3929.

Where is Robert Super located?

1255 W 15TH St Ste 540, Plano, TX 75075-7248.

What is the taxonomy code for Robert Super?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Athletic Trainer providers in Plano

All Athletic Trainer providers in Plano, TX →