MEDICARE: ERIC RAYMOND BALES ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	AT003298	GA

General Provider Information

NPI Number	:	1871242362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC RAYMOND BALES ATC

Provider Business Mailing Address
First Line	:	102 FEDERAL PL
Second Line	:
City	:	BARDSTOWN
State	:	KY
Zip	:	40004-2046
Country	:	US
Telephone Number	:	765-490-8144
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 N TORNADO DIVISION RD BLDG 2866
Second Line	:
City	:	FORT KNOX
State	:	KY
Zip	:	40121-4218
Country	:	US
Telephone Number	:	502-624-1208
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2022
Last Update Date	:	03/22/2022

Similar Medicare Providers

1316060668 — DR. JEFFREY W. EASTON D.D.S., M.S., M.S.
Practice Location Address:

3968 PINE GROVE
FORT GRATIOT, MI
48059-4218

Practice Phone: 810-984-2208
Practice Fax: 810-984-4916

1841497179 — DR. KATIE EILEEN JOHNSTON D.D.S.
Practice Location Address:

3968 PINE GROVE AVE
FORT GRATIOT, MI
48059-4218

Practice Phone: 810-984-2208
Practice Fax:

1346787702 — NICOLE HALL
Practice Location Address:

7135 SHANNON BLVD
FORT MYERS, FL
33908-4218

Practice Phone: 812-719-6282
Practice Fax: 239-596-2210

1528598695 — DR. CRAIG EDWARD HARRISON II DDS, MD
Practice Location Address:

7040 HARRIS PKWY STE 140
FORT WORTH, TX
76132-4218

Practice Phone: 903-530-7382
Practice Fax:

1811733769 — CHISHOLM TRAIL ORAL SURGERY PLLC
Practice Location Address:

7040 HARRIS PKWY STE 140
FORT WORTH, TX
76132-4218

Practice Phone: 903-530-7382
Practice Fax:

1902644891 — MAXINE ROBINSON IBCLC
Practice Location Address:

4218 FORT DUPONT ST SE
WASHINGTON, DC
20020-6035

Practice Phone: 202-841-3530
Practice Fax:

Directions to “ ERIC RAYMOND BALES ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.