Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIJEAN DALE BALLARD, ATC
Active Sole ProprietorMARIJEAN DALE BALLARD, ATC is a Athletic Trainer healthcare provider located in DEATSVILLE, Alabama. NPI 1609811512 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DEATSVILLE, AL
Registration Details
- NPI Number
- 1609811512
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2006 (20.122773676492 yrs)
- Last Updated
- Aug 15, 2014
- License
-
610 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
289 SUMMERTIME PKWYDEATSVILLE, AL, 360225371Browse AL providers · Browse ZIP 36022
- Phone
- 2056015160
- Fax
- 2053781920
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.