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

Carly Fullerton, MSSATC

Individual provider Athletic Trainer · NPI 1235547894

Carly Fullerton, MSSATC is an Athletic Trainer in Farmville, Virginia. Licensed in Virginia. Registered with an NPI since 2014.

Licensed in
VA
In the registry since
2014

Practice location Address checks out

201 High St
Farmville, VA 23909-1800
Phone: (434) 395-2965
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0126001340 (VA)

Record details

NPI number1235547894
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSATC
Sole proprietorNo
NPI enumeratedJuly 28, 2014
Last updated in NPPESApril 13, 2018
Mailing address713 Monroe St, Farmville, VA 23901-3137

Other providers in Farmville