KELLEY HENDERSON


Address: 3005 Stadium Dr, Room 172f, Fort Worth, TX 76129-0001
Phone: 8172575573

KELLEY HENDERSON (NPI# 1952425514) 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) 1952425514
Entity Type Individual
Full Name KELLEY HENDERSON
Credential ATC, LAT
Practice Address 3005 Stadium Dr
Room 172f
Fort Worth
TX 76129-0001
Mailing Address 7925 Hosta Way
Fort Worth
TX 76123-1828
Practice Telephone 8172575573
Practice Fax Number 8172577702
Mailing Telephone 8174234523
Enumeration Date 2007-03-19
Last Update Date 2007-07-08
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
AT3804 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3005 STADIUM DR
ROOM 172F
City FORT WORTH
State TX
Zip Code 76129-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700340676 Hannah Thornhill Specialist/Technologist 3005 Stadium Dr, Fort Worth, TX 76109 2019-01-24
1023587482 Jessica Uselding Specialist/Technologist 3005 Stadium Dr, Fort Worth, TX 76109 2018-11-15
1508074501 Stephanie Ann Jevas Specialist/Technologist 3005 Stadium Dr, Department of Kinesiology, Suite 172, Fort Worth, TX 76129-0001 2007-05-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497287874 Myranda Stauch Specialist/Technologist 2901 Stadium Drive, Tcu Box 290315, Fort Worth, TX 76129 2017-04-03
1942227525 Benjamin Robert Timson Specialist/Technologist Texas Christian University 2800 University Drive, Fort Worth, TX 76129 2006-07-17
1285135608 Michael Joseph Monteleone Specialist/Technologist 2800 S University Dr, Fort Worth, TX 76129 2018-02-21
1215468756 Jordan Do Nguyen Specialist/Technologist 2800 S University Dr, Fort Worth, TX 76129 2017-03-26
1669093266 Frank Baker Specialist/Technologist 3500 Bellaire Drive N, Fort Worth, TX 76129-0001 2020-05-05
1699312439 Lacey Jane Arnett Student in an Organized Health Care Education/Training Program 3305 West Cantey St, Fort Worth, TX 76129-0001 2019-11-27
1083108104 Estephanie Rusnak Specialist/Technologist 3500 Stadium Dr, Fort Worth, TX 76129-0001 2018-06-21
1205335080 Bronson Kahikinaakala Sagon Specialist/Technologist Texas Christian University Tcu Box 297600, Fort Worth, TX 76129-0001 2018-02-07
1104269109 Michael Baum Specialist/Technologist Tcu Sports Medicine, Tcu Box 297600, Fort Worth, TX 76129-0001 2013-04-10
1720102403 Andrew Warren Klock Specialist/Technologist 3500 Bellaire Dr, Walsh Complex Athletic Training Room, Fort Worth, TX 76129-0001 2007-03-19
Find all providers in zip 76129

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
1386258341 Benjamin T Stefka Specialist/Technologist 9936 Gessner Dr, Fort Worth, TX 76244-5085 2020-09-06
1669093266 Frank Baker Specialist/Technologist 3500 Bellaire Drive N, Fort Worth, TX 76129-0001 2020-05-05
1003442195 Kaitlyn Paige Harrison Specialist/Technologist 3608 Clary Ave, Fort Worth, TX 76111-4818 2020-03-20
1770118135 Baylie Benge Specialist/Technologist 4137 Tupelo Trl, Fort Worth, TX 76244-6930 2020-03-05
1497389118 Marah Elizabeth Levy Specialist/Technologist 4000 Hulen Pl Apt 314, Fort Worth, TX 76107-7376 2020-03-03
1699309625 Nancy Alejandra Paredes Specialist/Technologist 707 Meadow Park Dr, Fort Worth, TX 76108-2807 2020-02-28
1770115099 Ian Underwood Specialist/Technologist 5204 Emmeryville Ln, Fort Worth, TX 76244-6200 2020-02-05
1427697671 Victor Joseph West Specialist/Technologist 9932 Pyrite Dr, Fort Worth, TX 76131-4341 2020-01-04
1285281105 Kaylee Baker Specialist/Technologist 817 Wesleyan St # 314, Fort Worth, TX 76105-1257 2019-08-26
1194389551 Katherine Jordan Specialist/Technologist 4909 El Campo Ave Apt D, Fort Worth, TX 76107-4910 2019-04-30
Find all providers in FORT WORTH

Competitor

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City FORT WORTH
Zip Code 76129

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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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