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

Justin Edward Carroll, AT, ATC, CSCS

Individual provider Athletic Trainer · NPI 1134902638

Justin Edward Carroll, AT, ATC, CSCS is an Athletic Trainer in Byron Center, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
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

8500 Burlingame Ave SW
Byron Center, MI 49315-6941
Phone: (161) 687-8600
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601001120 (MI)

Record details

NPI number1134902638
Entity typeIndividual (Type 1)
GenderMale
Credentials AT , ATC , CSCS
Sole proprietorYes
NPI enumeratedAugust 17, 2023
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

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