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

Mrs. Carolyn Margaret Black, ATC

Individual provider Athletic Trainer · NPI 1245461540

Mrs. Carolyn Margaret Black, ATC is an Athletic Trainer in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2009.

Licensed in
AK
In the registry since
2009
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

1001 E Bogard Rd
Wasilla, AK 99654-7114
Phone: (907) 376-2225
Fax: (907) 376-9225
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 119902014 (AK)

Record details

NPI number1245461540
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedAugust 4, 2009
Last updated in NPPESJuly 1, 2014

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