MIRANDA KAY BENSON MAT, AT, ATC
NPI 1548636780
Specialist/Technologist - Athletic Trainer in Quincy, IL

Active since August 11, 2015
1800 COLLEGE AVE, QUINCY, IL 62301(217) 228-5432(217) 228-5604 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 15, 2023, Aug 7, 2019, Dec 22, 2016 (3 updates tracked since 2016).

About Miranda Kay Benson Mat, At, Atc NPPES

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

MIRANDA KAY BENSON MAT, AT, ATC (NPI 1548636780) is an individual athletic trainer provider in Quincy, Illinois, licensed in Illinois (096.004631) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1548636780
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMIRANDA KAY BENSONCredential: MAT, AT, ATC
Location Address1800 COLLEGE AVEQuincy, IL 62301-2670
Mailing Address606 N 5th StCanton, MO 63435-1100 · (920) 639-9272
Fax(217) 228-5604
Sole ProprietorNo
Enumeration DateAugust 11, 2015
Last NPPES UpdateDecember 15, 20233 updates tracked since enumeration
NPPES CertifiedAugust 7, 2022
NPI 1548636780 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 IL · 096.004631
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.

1800 COLLEGE AVE, Quincy, IL 62301

Other Providers at the Same Location NPPES 5

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

Specialist/Technologist (Athletic Trainer)
1800 COLLEGE AVE
QUINCY, IL 62301
Counselor
1800 COLLEGE AVE
QUINCY, IL 62301
Specialist/Technologist (Athletic Trainer)
1800 COLLEGE AVE
QUINCY, IL 62301
Specialist/Technologist (Athletic Trainer)
1800 COLLEGE AVE
QUINCY, IL 62301
Specialist/Technologist (Athletic Trainer)
1800 COLLEGE AVE
QUINCY, IL 62301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548636780, enumerated as an "individual" on August 11, 2015.

The provider is located at 1800 COLLEGE AVE QUINCY, IL 62301 and the phone number is (217) 228-5432.

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