Gayle Marie McDonald, ATC
Individual provider Active NPI Athletic Trainer · Henderson, TN
NPI 1275640583 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1275640583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 0000000085 (TN)
- Practice address
- 158 E Main St
Freed-Hardeman University
Henderson, TN 38340-2306 - Phone
- (731) 989-6046
- Fax
- (731) 983-3117
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 0000000085 | TN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freed-Hardeman University | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0000000085 | TN | Yes |
Addresses
Primary practice location
158 E Main St
Freed-Hardeman University
Henderson, TN 38340-2306
Mailing address
728 Hearn St
Henderson, TN 38340-2502
Phone (731) 989-7578
Other providers in Henderson, TN
- Main Street Family Medicine Inc
- Tara Lynn Marbrey
- Rick Martin
- Sara Massey
- Brian McCarver
- Paul McDonald
- Charles Daron McNatt
- Beverly Meador
- Melaro Behavioral Consultants Inc
- Christina Noel Mellenberger
All providers in Henderson, 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 Jul 8, 2007. 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.