Kadie Chadwick, AT
Individual provider Active NPI Athletic Trainer · Herriman, UT
NPI 1982202875 · NPPES record last updated Oct 13, 2020
Key facts
- NPI
- 1982202875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 11892 S Quarry Ridge CV
Herriman, UT 84096-7732 - Phone
- (801) 792-6823
- NPI assigned
- Oct 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
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
11892 S Quarry Ridge CV
Herriman, UT 84096-7732
Mailing address
11892 S Quarry Ridge CV
Herriman, UT 84096-7732
Phone (801) 792-6823
Other providers in Herriman, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2020. 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.