Individual
MR. CASEY DEAN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1800 COLLEGE AVE, MANHATTAN, KS 66502-3308
(785) 532-7244
(785) 532-1776
Mailing address
1800 COLLEGE AVE, MANHATTAN, KS 66502-3308
(785) 532-7244
(785) 532-1776
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2401142
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000010876
BOARD OF CERTIFICATION
—
01
—
2401142
KANSAS BOARD OF HEALING ARTS ATHLETIC
KS
01
—
AT.0001391
DEPARTMENT OF REGULATORY AGENCIES ATHLETIC TRAINING
CO
01
—
AT002151
GEORGIA BOARD OF ATHLETIC TRAINERS
GA
Enumeration date
10/31/2016
Last updated
11/04/2016
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