MERRISA KENNEDY HERALDSON ATC
NPI 1457875205
Specialist/Technologist - Athletic Trainer in Georgetown, KY

Active since August 02, 2017
400 E COLLEGE ST, GEORGETOWN, KY 40324(859) 806-6187 Get Directions Write a Review

NPPES record last updated: August 2, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Merrisa Kennedy Heraldson Atc NPPES

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

MERRISA KENNEDY HERALDSON ATC (NPI 1457875205) is an individual athletic trainer provider in Georgetown, Kentucky, licensed in Kentucky (TCA572) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1457875205
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMERRISA KENNEDY HERALDSONCredential: ATC
Location Address400 E COLLEGE STGeorgetown, KY 40324-1628
Mailing Address101 Caroline Path Apt 5Georgetown, KY 40324-0528 · (502) 609-7625
Sole ProprietorYes
Enumeration DateAugust 2, 2017
NPI 1457875205 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 KY · TCA572
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.

400 E COLLEGE ST, Georgetown, KY 40324

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

Specialist/Technologist (Athletic Trainer)
400 E COLLEGE ST
GEORGETOWN, KY 40324
Specialist/Technologist (Athletic Trainer)
400 E COLLEGE ST
GEORGETOWN, KY 40324
Specialist/Technologist (Athletic Trainer)
400 E COLLEGE ST
GEORGETOWN, KY 40324
Specialist/Technologist (Athletic Trainer)
400 E COLLEGE ST
GEORGETOWN, KY 40324
Specialist/Technologist (Athletic Trainer)
400 E COLLEGE ST
GEORGETOWN, KY 40324
Specialist/Technologist (Athletic Trainer)
400 E COLLEGE ST
GEORGETOWN, KY 40324
Specialist/Technologist (Athletic Trainer)
400 E COLLEGE ST
GEORGETOWN, KY 40324
Specialist/Technologist (Athletic Trainer)
400 E COLLEGE ST
GEORGETOWN, KY 40324

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457875205, enumerated as an "individual" on August 02, 2017.

The provider is located at 400 E COLLEGE ST GEORGETOWN, KY 40324 and the phone number is (859) 806-6187.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.