Stephanie K Bridges
Individual provider Active NPI Athletic Trainer · Mayfield, KY
NPI 1821290800 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821290800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1099 Medical Center Cir
Mayfield, KY 42066-1159 - Phone
- (270) 251-4121
- Fax
- (270) 251-4380
- NPI assigned
- Jun 1, 2007
- 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
1099 Medical Center Cir
Mayfield, KY 42066-1159
Mailing address
710 Windsor Woods
Paducah, KY 42001-4676
Phone (270) 443-4116
Other providers in Mayfield, KY
- Peggy Richardson Block
- Whitney Braden
- Thomas Mark Braxton Jr.
- Landon Blane Brewer
- Randy Lynn Briant Jr.
- Savanah Glen Wilkins Briggs
- Athena Michelle Brown
- Kelly Smiley Bugg
- Patricia Lynn Bushor
- Katherine Byassee
All providers in Mayfield, 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 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.