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MR. KELLY SCOTT WITHEM ATC, LAT
NPI 1114342557
Specialist/Technologist - Athletic Trainer in Terre Haute, IN

Active since February 21, 2014
1606 N 7TH ST, TERRE HAUTE, IN 47804(812) 238-7000 Get Directions Write a Review

NPPES record last updated: February 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kelly Scott Withem Atc, Lat NPPES

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

MR. KELLY SCOTT WITHEM ATC, LAT (NPI 1114342557) is an individual athletic trainer provider in Terre Haute, Indiana, licensed in Indiana (36000257A) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1114342557
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. KELLY SCOTT WITHEMCredential: ATC, LAT
Location Address1606 N 7TH STTerre Haute, IN 47804-2706
Mailing Address150 N Rosenberger AveEvansville, IN 47712-6503 · (812) 491-3856 · Fax (812) 759-1586
Phone(812) 238-7000
Sole ProprietorNo
Enumeration DateFebruary 21, 2014
✔ NPI 1114342557 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 IN · 36000257A
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.
1606 N 7TH ST, Terre Haute, IN 47804
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Other Providers at the Same Location NPPES 20

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

RAVNEET KAUR
Nurse Anesthetist, Certified Registered
1606 N 7TH ST
TERRE HAUTE, IN 47804
Vigo County (930) 800-6122
UNION HOSPITAL, INC.
Family Medicine
1606 N 7TH ST
TERRE HAUTE, IN 47804
Vigo County (812) 238-7000
KENNETH J. CRANE MD
Anesthesiology
1606 N 7TH ST
TERRE HAUTE, IN 47804
Vigo County (812) 238-7000
VICTOR S FERGUSON MD
Anesthesiology (Pain Medicine)
1606 N 7TH ST
TERRE HAUTE, IN 47804
Vigo County (812) 238-7000
ASUNCION U DEWITT M.D.
Specialist
1606 N 7TH ST
TERRE HAUTE, IN 47804
Vigo County (812) 244-0100
MRS. JACQUELINE MARIE HART FNP-C
Nurse Practitioner (Family)
1606 N 7TH ST
TERRE HAUTE, IN 47804
Vigo County (812) 238-7000
DR. ANTHONY D HEAVIN MD
Emergency Medicine
1606 N 7TH ST
TERRE HAUTE, IN 47804
Vigo County (812) 238-7000
UNION HOSPITAL INC.
Anesthesiology
1606 N 7TH ST
TERRE HAUTE, IN 47804
Vigo County (812) 238-7000

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 Kelly Withem's NPI number?

The NPI number for Kelly Withem is 1114342557. It was assigned to this individual provider in the NPPES registry on February 21, 2014.

Where is Kelly Withem located?

Kelly Withem practices at 1606 N 7th St, Terre Haute, IN 47804. The listed phone number is (812) 238-7000.

What is Kelly Withem'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 Kelly Withem was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.