Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allen Wayne Mardis, ATC

Individual provider Athletic Trainer · NPI 1336339324

Allen Wayne Mardis, ATC is an Athletic Trainer in Carbondale, Illinois. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1490 Douglas Dr Mc 6620
Carbondale, IL 62901-4332
Phone: (570) 492-1784
Fax: (618) 453-4173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1336339324
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 26, 2007
Last updated in NPPESNovember 7, 2013
Mailing address1490 Douglas Dr, Mc 6620, Carbondale, IL 62901-4332

Other providers in Carbondale