Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bridgette Idette Banks, MAT, LAT, ATC

Individual provider Athletic Trainer · NPI 1508345158

Bridgette Idette Banks, MAT, LAT, ATC is an Athletic Trainer in Canton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2018
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

111 Hickory Knoll Dr Apt 401
Canton, GA 30114-2444
Phone: (616) 773-9018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT003286 (GA)

Record details

NPI number1508345158
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAT , LAT , ATC
Sole proprietorYes
NPI enumeratedAugust 13, 2018
Last updated in NPPESAugust 13, 2018

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