Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERRY JOE CARLYLE, ATC
Active Sole ProprietorTERRY JOE CARLYLE, ATC is a Athletic Trainer healthcare provider located in OWATONNA, Minnesota. NPI 1871641951 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · OWATONNA, MN
Registration Details
- NPI Number
- 1871641951
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2007 (19.570013104956 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1059 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
903 S OAK AVEOWATONNA, MN, 550603200Browse MN providers · Browse ZIP 55060
- Phone
- 5074557631
- Primary Specialty
-
Athletic Trainer
225500000X
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.