Miranda Kay Benson, MAT, AT, ATC

Athletic Trainer · Quincy, IL

Individual Active NPI

NPI number 1548636780

Practice location

1800 College Ave
Quincy, IL 62301-2670
Phone
(217) 228-5432
Fax
(217) 228-5604

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NPI record

NPI
1548636780
Entity type
Individual (Type 1)
Enumeration date
August 11, 2015
Last updated
December 15, 2023
Certified
August 7, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 096.004631 IL

Mailing address

606 N 5TH St
Canton, MO 63435-1100
Phone
(920) 639-9272

About Miranda Benson

Miranda Kay Benson, MAT, AT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1800 College Ave, Quincy, IL 62301-2670. The NPI number 1548636780 was assigned on August 11, 2015 and the record was last updated on December 15, 2023.

Miranda Benson lists a license in the registry: #096.004631 (IL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Miranda Kay Benson, MAT, AT, ATC?

The NPI number is 1548636780.

What is the phone number of Miranda Benson?

The phone number listed for the practice location is (217) 228-5432.

Where is Miranda Benson located?

1800 College Ave, Quincy, IL 62301-2670.

What is the taxonomy code for Miranda Benson?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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