SearchGeorgiaAthletic Trainer

Bridgette Banks, MAT, LAT, ATC

NPI 1508345158 · on the registry since 2018 · sole proprietor

Practice

Address
111 Hickory Knoll Dr Apt 401
Canton, GA 30114
Phone
(616) 773-9018

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia