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KELLEY LYN ETHERIDGE ATC
NPI 1073660759
Specialist/Technologist - Athletic Trainer in Hiram, GA

Active since January 04, 2007
52 WOODSFIELD LN, HIRAM, GA 30141(404) 218-9051 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley Lyn Etheridge Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY LYN ETHERIDGE ATC (NPI 1073660759) is an individual athletic trainer provider in Hiram, Georgia and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1073660759
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKELLEY LYN ETHERIDGECredential: ATC
Location Address52 WOODSFIELD LNHiram, GA 30141-5165
Mailing Address52 Woodsfield LnHiram, GA 30141-5165 · (404) 218-9051
Phone(404) 218-9051
Sole ProprietorNo
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJuly 10, 2007
✔ NPI 1073660759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
52 WOODSFIELD LN, Hiram, GA 30141
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Etheridge's NPI number?

The NPI number for Kelley Etheridge is 1073660759. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Kelley Etheridge located?

Kelley Etheridge practices at 52 Woodsfield Ln, Hiram, GA 30141. The listed phone number is (404) 218-9051.

What is Kelley Etheridge's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kelley Etheridge was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.