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

Mr. Kelly Scott Withem, ATC, LAT

Individual provider Athletic Trainer · NPI 1114342557

Mr. Kelly Scott Withem, ATC, LAT is an Athletic Trainer in Terre Haute, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1606 N 7th St
Terre Haute, IN 47804-2706
Phone: (812) 238-7000
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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 36000257A (IN)

Record details

NPI number1114342557
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedFebruary 21, 2014
Last updated in NPPESFebruary 21, 2014

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