Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE KATHERINE PRIDDY, LCPC, ATC/LAT
Active Sole ProprietorMICHELLE KATHERINE PRIDDY, LCPC, ATC/LAT is a Athletic Trainer healthcare provider located in CENTREVILLE, Maryland. NPI 1881089084 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CENTREVILLE, MD
Registration Details
- NPI Number
- 1881089084
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 3, 2015 (11.219853872156 yrs)
- Last Updated
- Jan 27, 2022
- Licenses
-
LC9108 (MD)A0000014 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
125 RUTHSBURG RD.CENTREVILLE, MD, 21617Browse MD providers · Browse ZIP 21617
- Phone
- 4108298588
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
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.