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

DR. MYRA ANN STOCKDALE, DHSC, ATC, LAT

Active

DR. MYRA ANN STOCKDALE, DHSC, ATC, LAT is a Athletic Trainer healthcare provider located in LOUISVILLE, Kentucky. NPI 1245205905 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LOUISVILLE, KY

Registration Details

NPI Number
1245205905
Provider Type
Individual
Gender
Female
NPI Issued
Feb 17, 2006 (20.303856264762 yrs)
Last Updated
Apr 9, 2017
Licenses
36000285A (IN)
AT1347 (KY)

Practice Information

Address
2001 NEWBURG RD
LOUISVILLE, KY, 402051863
Browse KY providers · Browse ZIP 40205
Phone
5022727614
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in LOUISVILLE, KY

Name Credential NPI
MR. MICHAEL D PARSON ATC 1831164821
MR. WILLIAM CHRISTOPHER LAPOLE KCSA, OTC, ATC 1700852126
MR. ANDREW H CLINE MPH, A.T.C. 1578524799
DANIEL JOSEPH MCDONALD A.T.C. 1902869225
MR. WILLIAM ROGER CUBBAGE JR. ATC 1083679583
MRS. MELISSA MICHELLE KLAMM ATC 1770548208
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.