Individual
CARLY REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2 SCHOOL WAY, WATSONVILLE, CA 95076-9716
(831) 818-4183
Mailing address
894 CALABASAS RD, WATSONVILLE, CA 95076-0418
(831) 818-4183
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10444837-4810
UT
2255A2300X
Athletic Trainer
—
CA
Other
Enumeration date
04/17/2019
Last updated
03/01/2023
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