Carly Hedegard
Specialist/Technologist, Athletic Trainer in Ventura, CA. Individual provider (NPI-1).
NPI number1083127815
StatusActive
Last updated in NPPESJun 18, 2026
Details
- NPI
- 1083127815
- Entity type
- Individual (NPI-1)
- Name
- Carly Hedegard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2017
- Certification date
- Jun 18, 2026
- Last updated
- Jun 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
4667 Telegraph RdVentura, CA 93003-3872
Phone 805-289-6322
Mailing address
4667 Telegraph RdVentura, CA 93003-3872
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