Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY PLAZA, ATC
ActiveKIMBERLY PLAZA, ATC is a Athletic Trainer healthcare provider located in MARSHALL, Missouri. NPI 1457862005 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MARSHALL, MO
Registration Details
- NPI Number
- 1457862005
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 22, 2017 (8.7732228549573 yrs)
- Last Updated
- Aug 10, 2023
- Licenses
-
2017035329 (MO)AT8610 (TX)
Practice Information
- Address
-
500 E COLLEGE STMARSHALL, MO, 653403109Browse MO providers · Browse ZIP 65340
- Phone
- 6608314195
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in MARSHALL, MO
| Name | Credential | NPI |
|---|---|---|
| DELEE B LEACH | PTA, ATC | 1154345213 |
| VINCENT FEDOROWICH | MSED, ATC | 1225356785 |
| MATTHEW LONG | ATC, LAT | 1376953372 |
| TIFFANY WEBB | MS, ATC, LAT | 1942603220 |
| MR. DANIEL ACCOLA JR. | ATC, LAT | 1154724219 |
| JOSHUA ROBERT DOUGLAS LAIRD | — | 1073011425 |
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.