Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIDGETTE IDETTE BANKS, MAT, LAT, ATC
Active Sole ProprietorBRIDGETTE IDETTE BANKS, MAT, LAT, ATC is a Athletic Trainer healthcare provider located in CANTON, Georgia. NPI 1508345158 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CANTON, GA
Registration Details
- NPI Number
- 1508345158
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2018 (8.0112975720792 yrs)
- Last Updated
- Aug 13, 2018
- License
-
AT003286 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 HICKORY KNOLL DR APT 401CANTON, GA, 301142444Browse GA providers · Browse ZIP 30114
- Phone
- 6167739018
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CANTON, GA
| Name | Credential | NPI |
|---|---|---|
| HENRY WILLIAM DUNLAP | MS, ATC | 1598879371 |
| ALLIELEE CLAIRE KLEIN | ATC | 1235368838 |
| ALEXANDRIA MOORE | — | 1245648575 |
| DR. CASSIDY MEGHAN EVANS WINDSOR | DAT, ATC | 1558804054 |
| JESSICA SCHNEIDER | MHS, ATC, LAT | 1174064836 |
| SARAH MUCCILLO | MS, ATC, LAT | 1336637214 |
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.