MICHAELA TERESA ETHERIDGE ATC
NPI 1619502390
Specialist/Technologist - Athletic Trainer in Georgetown, SC

Q: What is Michaela Etheridge's NPI number?

The NPI number for Michaela Etheridge is 1619502390. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Q: What is Michaela Etheridge's specialty?

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

Active since March 03, 2020

2500 ANTHUAN MAYBANK ST, GEORGETOWN, SC 29440(843) 458-1601 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michaela Teresa Etheridge Atc NPPES

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

MICHAELA TERESA ETHERIDGE ATC (NPI 1619502390) is an individual athletic trainer provider in Georgetown, South Carolina, licensed in South Carolina (2105) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1619502390

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMICHAELA TERESA ETHERIDGECredential: ATC

Location Address2500 ANTHUAN MAYBANK STGeorgetown, SC 29440-2520

Mailing Address2500 Anthuan Maybank StGeorgetown, SC 29440-2520 · (843) 458-1601

Phone(843) 458-1601

Sole ProprietorYes

Enumeration DateMarch 3, 2020

NPPES CertifiedMarch 3, 2020

✔ NPI 1619502390 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 SC · 2105

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.

2500 ANTHUAN MAYBANK ST, Georgetown, SC 29440

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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 Michaela Etheridge's NPI number?

The NPI number for Michaela Etheridge is 1619502390. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Michaela Etheridge located?

Michaela Etheridge practices at 2500 Anthuan Maybank St, Georgetown, SC 29440. The listed phone number is (843) 458-1601.

What is Michaela Etheridge'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 Michaela Etheridge was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.