Theresa Behan, ATC
Individual provider Active NPI Athletic Trainer · Edgewood, KY
NPI 1649650334 · NPPES record last updated Jun 8, 2015
Key facts
- NPI
- 1649650334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT146 (KY)
- Practice address
- 830 Thomas More Pkwy
Edgewood, KY 41017-5102 - Phone
- (859) 344-4060
- Fax
- (859) 344-3629
- NPI assigned
- Jun 8, 2015
- 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 |
|---|---|---|---|
| AT146 | KY | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT146 | KY | Yes |
Addresses
Primary practice location
830 Thomas More Pkwy
Edgewood, KY 41017-5102
Mailing address
830 Thomas More Pkwy
Edgewood, KY 41017-5102
Phone (859) 344-4060
Other providers in Edgewood, KY
- Angela Sue Beale Martin
- Karli Danielle Beasley
- Mollie Beck
- Douglas Wayne Becker
- Ivan Dario Bedoya Apraez
- Joseph J Behler
- Barbara J Bell
- Katelyn Bell
- Shannon K Bentley
- Stephen Oswald Bernardon
All providers in Edgewood, KY · Athletic Trainer in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2015. 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.