Morgan Benham, ATC

Individual provider Active NPI Athletic Trainer · Marshall, MI

NPI 1669923868 · NPPES record last updated Feb 27, 2018

Key facts

NPI
1669923868
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
224 Circle Dr
Marshall, MI 49068-1908
Phone
(269) 275-4489
NPI assigned
Oct 23, 2016
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)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

224 Circle Dr
Marshall, MI 49068-1908

Mailing address

224 Circle Dr
Marshall, MI 49068-1908
Phone (269) 275-4489

Other providers in Marshall, MI

All providers in Marshall, MI · Athletic Trainer in Michigan

Sources for this page

Verify at the official NPI Registry.