Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michaela Teresa Etheridge, ATC

Individual provider Athletic Trainer · NPI 1619502390

Michaela Teresa Etheridge, ATC is an Athletic Trainer in Georgetown, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2020
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2500 Anthuan Maybank St
Georgetown, SC 29440-2520
Phone: (843) 458-1601
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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 2105 (SC)

Record details

NPI number1619502390
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedMarch 3, 2020
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020
Mailing address2500 Anthuan Maybank St, Georgetown, SC 29440-2520

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