KIMBERLY PLAZA ATC
NPI 1457862005
Specialist/Technologist - Athletic Trainer in Marshall, MO

Q: What is Kimberly Plaza's NPI number?

The NPI number for Kimberly Plaza is 1457862005. It was assigned to this individual provider in the NPPES registry on October 22, 2017.

Q: What is Kimberly Plaza'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 Kimberly Plaza was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 22, 2017

500 E COLLEGE ST, MARSHALL, MO 65340(660) 831-4195 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2023, Apr 2, 2021, Oct 22, 2017 (3 updates tracked since 2017).

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About Kimberly Plaza Atc NPPES

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

KIMBERLY PLAZA ATC (NPI 1457862005) is an individual athletic trainer provider in Marshall, Missouri, licensed in Texas (AT8610) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1457862005

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameKIMBERLY PLAZACredential: ATC

Location Address500 E COLLEGE STMarshall, MO 65340-3109

Mailing Address1032 Winnsboro LoopRound Rock, TX 78664-3312

Phone(660) 831-4195

Sole ProprietorNo

Enumeration DateOctober 22, 2017

Last NPPES UpdateAugust 10, 20233 updates tracked since enumeration

NPPES CertifiedAugust 10, 2023

✔ NPI 1457862005 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

Licenses✔ Licensed in TX · AT8610✔ Licensed in MO · 2017035329

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.

500 E COLLEGE ST, Marshall, MO 65340

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Other Providers at the Same Location NPPES 14

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

JOSHUA ROBERT DOUGLAS LAIRD

Specialist/Technologist (Athletic Trainer)