IndividualActive
Addison Mienert
NPI 1811549819 · Athletic Trainer · Cumming, GA
Provider details
- NPI number
- 1811549819
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 058916984 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6450 Ivey Manor Dr
Cumming, GA 30040-6684
Phone: (770) 878-7660
Approximate (ZIP-level) locationGet directions
Mailing address
6450 Ivey Manor Dr
Cumming, GA 30040-6684
Registry dates
- Enumerated
- 2019-07-10
- Last updated
- 2019-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.