Jalen Elijah McCarthy, LAT, ATC
Specialist/Technologist, Athletic Trainer in Fort Worth, TX. Individual provider (NPI-1).
NPI number1689340424
StatusActive
Last updated in NPPESAug 20, 2021
Details
- NPI
- 1689340424
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jalen Elijah McCarthy
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2021
- Certification date
- Aug 20, 2021
- Last updated
- Aug 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT8820 | TX | Yes |
Practice location
12905 Hurricane LnFort Worth, TX 76244-4349
Phone 817-637-0117
Mailing address
12905 Hurricane LnFort Worth, TX 76244-4349
Phone 817-637-0117
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All 114 Athletic Trainer providers in Fort Worth · All 20,155 providers in Fort Worth
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