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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTIN EDWARD CARROLL, AT,ATC, CSCS

Active Sole Proprietor

JUSTIN EDWARD CARROLL, AT,ATC, CSCS is a Athletic Trainer healthcare provider located in BYRON CENTER, Michigan. NPI 1134902638 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BYRON CENTER, MI

Registration Details

NPI Number
1134902638
Provider Type
Individual
Gender
Male
NPI Issued
Aug 17, 2023 (3.0090354491125 yrs)
Last Updated
Aug 17, 2023
License
2601001120 (MI)
Sole Proprietor
Yes

Practice Information

Address
8500 BURLINGAME AVE SW
BYRON CENTER, MI, 493156941
Browse MI providers · Browse ZIP 49315
Phone
1616878600
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in BYRON CENTER, MI

Name Credential NPI
ANJA ELIZABETH WHITEHOUSE 1124891064
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.