Healthcare Provider Details

I. General information

NPI: 1548226400
Provider Name (Legal Business Name): BARBARA HALLETT CATON L.A.T./A.T.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 07/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2319 STRINGTOWN RD
EVANSVILLE IN
47711-3759
US

IV. Provider business mailing address

7735 BIG CYNTHIAND RD
EVANSVILLE IN
47720
US

V. Phone/Fax

Practice location:
  • Phone: 812-425-7290
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number36000033A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: