Carly Elizabeth Trevathan
Specialist/Technologist, Athletic Trainer in La Plata, MD. Individual provider (NPI-1).
NPI number1891656823
StatusActive
Last updated in NPPESNov 19, 2025
Details
- NPI
- 1891656823
- Entity type
- Individual (NPI-1)
- Name
- Carly Elizabeth Trevathan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2025
- Certification date
- Nov 6, 2025
- Last updated
- Nov 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1146 Laplata RLa Plata, MD 20646
Phone 301-643-5759
Mailing address
1146 Laplata RLa Plata, MD 20646
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