Karleigh Holderbaum
Individual provider Active NPI Athletic Trainer · Minerva, OH
NPI 1144737800 · NPPES record last updated Jan 3, 2018
Key facts
- NPI
- 1144737800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 10938 Stump Rd
Minerva, OH 44657-9402 - Phone
- (330) 205-4615
- NPI assigned
- Jan 3, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
10938 Stump Rd
Minerva, OH 44657-9402
Mailing address
10938 Stump Rd
Minerva, OH 44657-9402
Phone (330) 205-4615
Other providers in Minerva, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2018. 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.