William L. Ball, ATC

Individual provider Active NPI Athletic Trainer · Louisville, MS

NPI 1205855160 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1205855160
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
ATO126 (MS)
Practice address
729 Highway 393
Louisville, MS 39339-8090
Phone
(662) 779-2260
NPI assigned
Jul 19, 2006
Sex
Male
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

LicenseStateTypeSpecialty
ATO126MSMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X ATO126 MS Yes

Addresses

Primary practice location

729 Highway 393
Louisville, MS 39339-8090

Mailing address

729 Highway 393
Louisville, MS 39339-8090
Phone (662) 779-2260

Other providers in Louisville, MS

All providers in Louisville, MS · Athletic Trainer in Mississippi

Sources for this page

Verify at the official NPI Registry.