KELLY TRUST


Address: 4151 N Traverse Mountain Blvd Apt 15-303, Lehi, UT 84043-2646
Phone: (832) 384-6127

KELLY TRUST (NPI# 1134659626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134659626
Entity Type Individual
Full Name KELLY TRUST
Other Name KELLY CHENEY
Credential ATC
Practice Address 4151 N Traverse Mountain Blvd Apt 15-303
Lehi
UT 84043-2646
Practice Telephone (832) 384-6127
Mailing Telephone 8323846127
Enumeration Date 2017-06-15
Last Update Date 2017-06-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
10272228-4810 UT Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 4151 N TRAVERSE MOUNTAIN BLVD APT 15-303
City LEHI
State UT
Zip Code 84043-2646

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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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 advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

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NPI Name Taxonomy Address Enumeration
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1407362841 Janice Michele Bentley Specialist/Technologist 180 N 500 E, Lehi, UT 84043-1950 2017-12-21
1861871410 Haydn Thompson Specialist/Technologist 5262 N Fox Hollow Way, Lehi, UT 84043-4039 2015-05-28
1982957809 Erica Dawn Mcguire Specialist/Technologist 1988 West 80 South, #3, Lehi, UT 84043-6841 2012-10-16
1649741901 Adam Mathias Specialist/Technologist 3401 N Center St Ste 100, Lehi, UT 84043-7498 2018-12-16
1801947304 Katie Beth Habecker Specialist/Technologist 680 E Main St, Ste 101, Lehi, UT 84043-2241 2007-01-13

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1629695929 John Randall Woodworth Specialist/Technologist 383 S Colorow Dr Rm 392, Salt Lake City, UT 84108-1245 2020-07-02
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City LEHI
Zip Code 84043

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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