Carlie Kate Elmer
Specialist/Technologist, Athletic Trainer in Jber, AK. Individual provider (NPI-1).
NPI number1407239346
StatusActive
Last updated in NPPESAug 18, 2021
Details
- NPI
- 1407239346
- Entity type
- Individual (NPI-1)
- Name
- Carlie Kate Elmer
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2015
- Certification date
- Aug 18, 2021
- Last updated
- Aug 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 165528 | AK | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1409 | AZ |
Practice location
9551 Sijan AveJber, AK 99506-4300
Phone 609-540-2040
Mailing address
7125 E Superstition Springs BlvdMesa, AZ 85209-4032
Other practice locations
5217 Sleepy Meadow Pl
Anchorage, AK 99507-1488
Anchorage, AK 99507-1488
Phone 609-540-2040
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Athletic Trainer providers in Jber, AK
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.