NPI 1245461540

Carolyn Margaret Black, ATC

Practitioner Athletic Trainer Wasilla, AK

Practice location

Address: 1001 E Bogard Rd, Wasilla, AK 99654-7114
Phone: (907) 376-2225
Fax: (907) 376-9225

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 119902014 (AK)

Other Specialist/Technologist providers in Alaska →

Registry record

NPI: 1245461540
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Aug 2009
Record last updated: 1 Jul 2014

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.