MICKAELLA LEE HERRIDGE ATC, MAT, LAT
NPI 1740165117
Specialist/Technologist - Athletic Trainer in Bullard, TX

Active since August 06, 2025
1426 S HOUSTON ST, BULLARD, TX 75757(903) 894-2862 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mickaella Lee Herridge Atc, Mat, Lat NPPES

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

MICKAELLA LEE HERRIDGE ATC, MAT, LAT (NPI 1740165117) is an individual athletic trainer provider in Bullard, Texas, licensed in Texas (AT9595) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1740165117
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMICKAELLA LEE HERRIDGECredential: ATC, MAT, LAT
Location Address1426 S HOUSTON STBullard, TX 75757-5555
Mailing Address17182 Pintail DrFlint, TX 75762-9610 · (701) 840-0949
Sole ProprietorNo
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
NPI 1740165117 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 TX · AT9595
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.
1426 S HOUSTON ST, Bullard, TX 75757

Other Names 1

Other Name (5)Mickaella Lee Langer

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 Mickaella Herridge's NPI number?

The NPI number for Mickaella Herridge is 1740165117. It was assigned to this individual provider in the NPPES registry on August 6, 2025. The provider is also known as Mickaella Lee Langer.

Where is Mickaella Herridge located?

Mickaella Herridge practices at 1426 S Houston St, Bullard, TX 75757. The listed phone number is (903) 894-2862.

What is Mickaella Herridge'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 Mickaella Herridge was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.