Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carly J Wilson, MS, LAT, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205326642

Carly J Wilson, MS, LAT, ATC is a Student in an Organized Health Care Education/Training Program in Boise, Idaho. Works from 3 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Boise, ID

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • Blatt Pe Center - Exercise Science 1300 Wheat Street, Columbia, SC 29208-1121 — (803) 777-0636
  • 2000 Observatory Dr, Madison, WI 53706-1121 — (608) 262-3742

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205326642
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedMay 10, 2018
Last updated in NPPESSeptember 9, 2021
Certification dateSeptember 9, 2021

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