Katie Lee Bethune
Individual provider Active NPI Athletic Trainer · Tuscaloosa, AL
NPI 1801315569 · NPPES record last updated Sep 13, 2017
Key facts
- NPI
- 1801315569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 718 Magnolia Drive
Tuscaloosa, AL 35487-0001 - Phone
- (256) 605-5622
- NPI assigned
- Sep 13, 2017
- 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
718 Magnolia Drive
Tuscaloosa, AL 35487-0001
Mailing address
718 Magnolia Drive
Tuscaloosa, AL 35487-0001
Phone (256) 605-5622
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- Keonna Cherelle Betts
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- Tammy E Bice
All providers in Tuscaloosa, AL · Athletic Trainer in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2017. 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.