Laura Alessandra Horner, ATC, LAT
Individual provider Active NPI Athletic Trainer · MC Kenzie, TN
NPI 1124544663 · NPPES record last updated Aug 16, 2017
Key facts
- NPI
- 1124544663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2075 (TN)
- Practice address
- 325 Cherry Ave
MC Kenzie, TN 38201-1769 - Phone
- (731) 352-4000
- NPI assigned
- Aug 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2075 | TN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2075 | TN | Yes |
Addresses
Primary practice location
325 Cherry Ave
MC Kenzie, TN 38201-1769
Mailing address
1052 Main St N
MC Kenzie, TN 38201-1754
Phone (405) 255-2759
Other providers in MC Kenzie, TN
- Henry County Orthopaedic Surgery & Sports Medicine, PC
- John R Holancin
- Lori B Holladay
- David Matthew Holsinger
- Home Medical Products, Inc
- Francis Howe
- Bruce Lee Ingmire
- Integrative Health Centers of Kentucky LLC
- Victoria Brooke Ivy
- J. B. Johnsonius, D.D.S.
All providers in MC Kenzie, TN · Athletic Trainer in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.