Individual provider · Type 1 NPI

Mickaella Lee Herridge, ATC, MAT, LAT

Athletic Trainer · Bullard, TX

NPI number 1740165117 Active

Practice location

1426 S Houston St
Bullard, TX 75757-5555

Mailing address

17182 Pintail Dr
Flint, TX 75762-9610

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300XAT9595 (TX)

Athletic Trainer: 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 advanc…

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About NPI 1740165117

Mickaella Lee Herridge, ATC, MAT, LAT's National Provider Identifier is 1740165117, issued on Aug 6, 2025. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Bullard, TX. The record was last updated on Aug 6, 2025.