Beth Ann Herrell, MS, ATC, LAT, CSCS

Athletic Trainer · Fort Wayne, IN

Individual Active NPI

NPI number 1619945888

Practice location

3946 Ice Way
Fort Wayne, IN 46808
Phone
(260) 266-4007

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NPI record

NPI
1619945888
Entity type
Individual (Type 1)
Enumeration date
March 14, 2006
Last updated
March 17, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 36000171A IN

Other practice locations (1)

  • 11130 Parkview Circle Dr, Fort Wayne, IN 46845-1735 · (260) 359-4287

About Beth Herrell

Beth Ann Herrell, MS, ATC, LAT, CSCS is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 3946 Ice Way, Fort Wayne, IN 46808. The NPI number 1619945888 was assigned on March 14, 2006 and the record was last updated on March 17, 2018.

Beth Herrell lists a license in the registry: #36000171A (IN) 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 Beth Ann Herrell, MS, ATC, LAT, CSCS?

The NPI number is 1619945888.

What is the phone number of Beth Herrell?

The phone number listed for the practice location is (260) 266-4007.

Where is Beth Herrell located?

3946 Ice Way, Fort Wayne, IN 46808.

What is the taxonomy code for Beth Herrell?

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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