MICKAELLA LEE HERRIDGE ATC, MAT, LAT
NPI 1740165117
Specialist/Technologist - Athletic Trainer in Bullard, TX
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
Specialties & Licenses
Other Names 1
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.