Katie Altmann, LAT, ATC
Individual provider Active NPI Athletic Trainer · Newburgh, IN
NPI 1922498534 · NPPES record last updated May 8, 2022
Key facts
- NPI
- 1922498534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 0126002921 (VA)
- Practice address
- 7711 Michael LN
Newburgh, IN 47630-8004 - Phone
- (812) 204-9121
- NPI assigned
- Feb 3, 2015
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126002921 | VA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | 0126002921 | VA | Yes |
Addresses
Primary practice location
7711 Michael LN
Newburgh, IN 47630-8004
Mailing address
8 Woodduck Rd
Lexington, VA 24450-2233
Phone (812) 204-9121
Other names
- Katie Calvert
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2022. 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.