Carah Beth Maddux

Individual provider Active NPI Athletic Trainer · Trenton, TN

NPI 1801411145 · NPPES record last updated Jun 12, 2020

Key facts

NPI
1801411145
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
2481 (TN)
Practice address
2017 S College St Ste a
Trenton, TN 38382-3934
Phone
(731) 855-7984
Fax
(731) 855-7779
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Madison County General Hospital Past
since Jun 14, 2020
Accepting new patients
Lift Therapy, Inc. Past
since Jun 14, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2481 TN Yes

Addresses

Primary practice location

2017 S College St Ste a
Trenton, TN 38382-3934

Mailing address

1804 Highway 45 Byp Ste 604
Jackson, TN 38305-4403
Phone (731) 660-8781

Other providers in Trenton, TN

All providers in Trenton, TN · Athletic Trainer in Tennessee

Sources for this page

Verify at the official NPI Registry.