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

Miss. Hayley Ann Widman, MSK, LAT, ATC

Individual provider Athletic Trainer · NPI 1174042162

Miss. Hayley Ann Widman, MSK, LAT, ATC is an Athletic Trainer in Valdosta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2017
Specialties on file
2
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

410 Baytree Rd Apt 30F
Valdosta, GA 31602-3235
Phone: (419) 677-3848
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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 AT003663 (GA)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1174042162
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSK , LAT , ATC
Sole proprietorYes
NPI enumeratedSeptember 12, 2017
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

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