Michaela Teresa Etheridge, ATC
NPI #1619502390 in Georgetown, South Carolina
Provider Information
- NPI Number
- 1619502390
- Entity Type
- Individual
- Name
- Michaela Teresa Etheridge, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Mar 3, 2020
- Last Updated
- Mar 3, 2020
Practice Location
- Address
- 2500 ANTHUAN MAYBANK ST
- City
- Georgetown
- State
- South Carolina
- ZIP Code
- 29440-2520
- Phone
- (843) 458-1601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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