KELLY QUACKENBUSH
NPI 1083189674
Specialist/Technologist - Athletic Trainer in Bradenton, FL

Q: What is Kelly Quackenbush's NPI number?

The NPI number for Kelly Quackenbush is 1083189674. It was assigned to this individual provider in the NPPES registry on October 10, 2018.

Q: What is Kelly Quackenbush's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Quackenbush was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 10, 2018

5500 34TH ST W, BRADENTON, FL 34210(941) 739-7476 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Quackenbush NPPES

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

KELLY QUACKENBUSH (NPI 1083189674) is an individual athletic trainer provider in Bradenton, Florida, licensed in Florida (AL3807) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1083189674

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameKELLY QUACKENBUSH

Location Address5500 34TH ST WBradenton, FL 34210-3506

Mailing Address22830 Collridge DrLand O Lakes, FL 34639-4075

Phone(941) 739-7476

Sole ProprietorNo

Enumeration DateOctober 10, 2018

✔ NPI 1083189674 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

License✔ Licensed in FL · AL3807

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.

5500 34TH ST W, Bradenton, FL 34210

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONICA KIMMEL MS, LAT, ATC

Specialist/Technologist (Athletic Trainer)