Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Jaqulyn Nikole Carrell, MED, ATC, LAT, CKTP

Individual provider Specialist · NPI 1497130207

Miss. Jaqulyn Nikole Carrell, MED, ATC, LAT, CKTP is a Specialist in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2015
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

3910 Montlake Blvd NE
Seattle, WA 98195-0001
Phone: (317) 286-8881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A1 60486324 (WA)

Record details

NPI number1497130207
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , ATC , LAT , CKTP
Sole proprietorYes
NPI enumeratedJuly 22, 2015
Last updated in NPPESJuly 22, 2015

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