Individual
COREY KATHELEEN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
184 PANTHER DR, SHENANDOAH, VA 22849-3022
(540) 652-8712
Mailing address
407 HERDMAN HILL RD, LURAY, VA 22835-7133
(540) 631-1648
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002185
VA
Other
Enumeration date
02/06/2019
Last updated
08/13/2025
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