Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CARL D LANDIS, ATC
Active Sole ProprietorMR. CARL D LANDIS, ATC is a Athletic Trainer healthcare provider located in MISHAWAKA, Indiana. NPI 1336229954 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MISHAWAKA, IN
Registration Details
- NPI Number
- 1336229954
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2006 (19.786651138374 yrs)
- Last Updated
- Jul 8, 2007
- License
-
36000124A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
953 HANDLEBAR RDMISHAWAKA, IN, 465446647Browse IN providers · Browse ZIP 46544
- Phone
- 5742589091
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MISHAWAKA, IN
| Name | Credential | NPI |
|---|---|---|
| MISS SARAH R RHODES | MS, LAT, ATC | 1194714667 |
| MR. ROBERT J. SHRINER JR. | ATC | 1568490043 |
| BRITTANY DUSZYNSKI | ATC | 1851761712 |
| BAILEE MARIE WESTRA | — | 1962938076 |
| ANNA C ROBERTS | — | 1053816439 |
| MARY IRVIN | ATC | 1154818011 |
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.