Whalio Doctors

NPI 1023470986

Karen Donna Stuart Fallis, ATC

Practitioner Athletic Trainer Fort Bragg, NC

Practice location

Address
2817 Reilly St, Fort Bragg, NC 28310-6723
Phone
(850) 590-1301
Mailing address
2840 Compass CT APT 308b, Fort Bragg, NC 28307-2193

Registered specialties (3)

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL5567 (FL)
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence LAT-3045 (NC)
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 24-01007 (KS)

Registry record

NPI
1023470986
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Mar 2016
Record last updated
16 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.