Carson Parks
Carson Parks is an Athletic Trainer in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2018.
- Licensed in
- ID
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
2225 Pocatello Creek Rd Apt APocatello, ID 83201-2152
Phone: (530) 209-6873
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (ID) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X (ID) |
Record details
| NPI number | 1124523782 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 27, 2018 |
| Last updated in NPPES | March 27, 2018 |
| Mailing address | 2225 Pocatello Creek Rd Apt A, Pocatello, ID 83201-2152 |
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