Individual provider · NPI-1

Abbie Ballentine, ATC

Specialist/Technologist, Athletic Trainer · Louisville, KY

NPI number1255870911

StatusActive

Last updated in NPPESMar 24, 2025

Details

NPI: 1255870911
Entity type: Individual (NPI-1)
Name: Abbie Ballentine
Credential: ATC
Sex: Female
Sole proprietor: No
Enumeration date: Feb 14, 2017
Certification date: Mar 24, 2025
Last updated: Mar 24, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2255A2300X	Specialist/Technologist, Athletic Trainer	AT1298	KY	Yes
2255A2300X	Specialist/Technologist, Athletic Trainer	36003987A	IN

Practice location

1700 Envoy Cir
Louisville, KY 40299-1822

Phone 502-244-6770

Mailing address

1700 Envoy Cir
Louisville, KY 40299-1822

Phone 502-244-6770

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