Avery John Carney, PA-C, OT/L

NPI #1134281637 in Peterson Space Force Base, Colorado

Provider Information

NPI Number: 1134281637
Entity Type: Individual
Name: Avery John Carney, PA-C, OT/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, OT/L
Enumeration Date: Dec 14, 2006
Last Updated: Aug 12, 2025

Practice Location

Address: 559 VINCENT ST.
Address 2: SPACE BASE DELTA 1
City: Peterson Space Force Base
State: Colorado
ZIP Code: 80914
Phone: (719) 723-6030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physician Assistant	363A00000X	Primary

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