NPI 1700282860

Carole Rider

Practitioner Athletic Trainer Brookhaven, MS

Practice location

Address: 418 W Minnesota St, Brookhaven, MS 39601-3764
Phone: (601) 669-1995

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence ATO457 (MS)

Other Specialist/Technologist providers in Mississippi →

Registry record

NPI: 1700282860
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2014
Record last updated: 17 Nov 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.