MICHAELA TERESA ETHERIDGE


Address: 2500 Anthuan Maybank St, Georgetown, SC 29440-2520
Phone: 8434581601

MICHAELA TERESA ETHERIDGE (NPI# 1619502390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619502390
Entity Type Individual
Full Name MICHAELA TERESA ETHERIDGE
Credential ATC
Practice Address 2500 Anthuan Maybank St
Georgetown
SC 29440-2520
Practice Telephone 8434581601
Mailing Telephone 8434581601
Enumeration Date 2020-03-03
Last Update Date 2020-03-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
2105 SC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2500 ANTHUAN MAYBANK ST
City GEORGETOWN
State SC
Zip Code 29440-2520

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003288788 Bartou Wilson Pharmacist 513 Rosemont St, Georgetown, SC 29440 2015-10-21
1538557780 Sc Pain and Spine Specialist Pain Medicine 230 S Fraser Street, Georgetown, SC 29440 2014-12-22
1326393745 Rose Carpenzano Social Worker 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 2012-07-23
1942575451 Surgical Specialists of Waccamaw, LLC Surgery 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 2012-03-16
1619296654 Lisa Marie Holmes Durable Medical Equipment & Medical Supplies 1263 N. Frazer St., Georgetown, SC 29440 2010-05-28
1104156892 Georgetown Anesthesia Consultants, PC Anesthesiology 606 Blackriver Road, Georgetown, SC 29440 2010-01-04
1306018999 Heather Denise Sharpe Pharmacist 810 Elizabeth Street, Georgetown, SC 29440 2008-03-24
1083882054 Advanced Chiropractic Center Chiropractor 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 2008-02-13
1295922284 Georgetown Memorial Hospital Clinic/Center 2361 North Frasier Street, Georgetown, SC 29440 2007-10-03
1114110863 Thomas Clifford Rowland Jr. Obstetrics & Gynecology 74 Swan Point Trail, Georgetown, SC 29440 2007-08-24
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy 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.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306457577 Katherine Lynn Helly Specialist/Technologist 108 Crawford Dr, Georgetown, KY 40324 2020-08-12
1083231310 Lindsay Perry Specialist/Technologist 129 Wellesly Ave, Georgetown, KY 40324-8091 2020-07-02
1629690771 Chad Patrick Hennessey Specialist/Technologist 2211 N Austin Ave, Georgetown, TX 78626-4514 2020-05-12
1073150272 Elissa Roblero Specialist/Technologist 22161 Rust Rd, Georgetown, DE 19947-5560 2019-12-06
1659855989 Alexandra Adams Specialist/Technologist 202 Shady Elm, Georgetown, TX 78633-2037 2018-09-22
1992207492 Xandrea Elizabeth Lara Specialist/Technologist 900 Jasmine Trl, Georgetown, TX 78626-4779 2018-03-01
1316479264 Sabrina Queen Specialist/Technologist 105 N Austin Ave, Apt #9106, Georgetown, TX 78626-4239 2017-03-30
1548701204 Johanna Puetz Specialist/Technologist 412 Derby Ln, Georgetown, TX 78626-6322 2017-03-14
1225586241 Raymond J Albensi Specialist/Technologist 685 Anderson Rd, Georgetown, KY 40324-9278 2016-09-19
1811352685 Drew Park Specialist/Technologist 107 Wabash Dr, Georgetown, KY 40324-8893 2015-12-22
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City GEORGETOWN
Zip Code 29440

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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