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MALLORY MICKUS
NPI 1659785137
Specialist/Technologist - Athletic Trainer in Bloomington, IN

Active since June 12, 2014
2200 W SUDBURY DR, E2, BLOOMINGTON, IN 47403(219) 921-4028 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallory Mickus NPPES

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

MALLORY MICKUS (NPI 1659785137) is an individual athletic trainer provider in Bloomington, Indiana, licensed in Indiana (36001700A) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1659785137
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMALLORY MICKUS
Location Address2200 W SUDBURY DR, E2Bloomington, IN 47403-3736
Mailing Address2200 W Sudbury Dr, E2Bloomington, IN 47403-3736
Phone(219) 921-4028
Sole ProprietorNo
Enumeration DateJune 12, 2014
✔ NPI 1659785137 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 · 36001700A
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.
2200 W SUDBURY DR, Bloomington, IN 47403
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Other Providers at the Same Location NPPES

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

QUENTIN L. SPEIGHT M.A.
Student in an Organized Health Care Education/Training Program
2200 W SUDBURY DR, A-7
BLOOMINGTON, IN 47403
Monroe County (302) 228-3933

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 Mallory Mickus's NPI number?

The NPI number for Mallory Mickus is 1659785137. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Where is Mallory Mickus located?

Mallory Mickus practices at 2200 W Sudbury Dr E2, Bloomington, IN 47403. The listed phone number is (219) 921-4028.

What is Mallory Mickus'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 Mallory Mickus was last updated on June 12, 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.