IndividualActive
Andria Merrill, MS, LAT, ATC
NPI 1164293353 · Athletic Trainer · Louisville, KY
Provider details
- NPI number
- 1164293353
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 004221-01 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1700 Envoy Cir
Louisville, KY 40299-1822
Phone: (607) 794-8946
Approximate (ZIP-level) locationGet directions
Mailing address
201 Kratz Ln
Louisville, KY 40243-1407
Registry dates
- Enumerated
- 2024-01-16
- Last updated
- 2024-01-16
- Certified
- 2024-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.