Carole Rider Valid NPI

Individual provider · Athletic Trainer · Brookhaven, MS

NPI

1700282860

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

ATO457 (MS)

Sex

Female

Sole proprietor

No

Enumerated

2014-11-17

Last updated

2014-11-17