Bethany Wood, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003154 Issued in GA

Practice address

1266 Barclay Cir SE
Marietta, GA 30060-2904

Phone

(630) 464-9991

NPI assigned

Apr 30, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1821652298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 POWERS FERRY RD SE APT G",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 BARCLAY CIR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602904",
            "telephone_number": "630-464-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BETHANY",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Louise Wonders, M.A., LPC, RYT
• Magaly Wong
• Stacie Linn Wong, MD
• Wai Sum Vanessa Wong, DC
• Wood Family Chiropractic, P.C.
• Colleen Norma Wood, D.C.
• Jaclyn Wood, NP
• Leslie Kevin Wood, D.C.
• Nicole Walker Wood, M.A., LPC, NCC, CPCS
• Emily Woodby, DO

• Athletic Trainer in Marietta, GA
• Providers in Marietta, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.