Avery Brianne Carlson, ATC, LAT

NPI #1669862884 in Nampa, Idaho

Provider Information

NPI Number
1669862884
Entity Type
Individual
Name
Avery Brianne Carlson, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Jan 26, 2015
Last Updated
Jan 26, 2015

Practice Location

Address
36 5TH ST N
City
Nampa
State
Idaho
ZIP Code
83687-3482
Phone
(605) 880-8886

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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