Individual provider · NPI-1

Carla M Betancourt

Specialist/Technologist, Athletic Trainer · Charlottesville, VA

NPI number1346933546
StatusActive
Last updated in NPPESDec 17, 2025

Details

NPI
1346933546
Entity type
Individual (NPI-1)
Name
Carla M Betancourt
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 1, 2023
Certification date
Dec 17, 2025
Last updated
Dec 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

1400 Melbourne Rd
Charlottesville, VA 22901-3148

Phone 434-566-8196

Mailing address

225 Lake Club Ct Apt 204
Charlottesville, VA 22902-7285

Phone 434-566-8196

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