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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KELLY SCOTT WITHEM, ATC, LAT

Active

MR. KELLY SCOTT WITHEM, ATC, LAT is a Athletic Trainer healthcare provider located in TERRE HAUTE, Indiana. NPI 1114342557 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · TERRE HAUTE, IN

Registration Details

NPI Number
1114342557
Provider Type
Individual
Gender
Male
NPI Issued
Feb 21, 2014 (12.488167633973 yrs)
Last Updated
Feb 21, 2014
License
36000257A (IN)

Practice Information

Address
1606 N 7TH ST
TERRE HAUTE, IN, 478042706
Browse IN providers · Browse ZIP 47804
Phone
8122387000
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in TERRE HAUTE, IN

Name Credential NPI
DR. CATHERINE LUCILLE STEMMANS LAT, ATC 1770577264
AUTUMN WHITSON 1518949148
MR. JAMES MATTHEW NAVE ATC 1831168822
MISS AMY MARIE REINHART LAT, ATC 1972562544
ERICK A BUITRAGO M.S.ED., LAT, ATC 1891705026
DR. JODY BRENT BRUCKER ATC 1891800702
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.