Individual
JENNIFER SARAH CARROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PA-C
Contact information
Practice address
2450 S PEORIA ST STE 245, AURORA, CO 80014-5475
(970) 624-2422
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2422
(970) 490-4155
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
PA.006687
CO
363A00000X
Physician Assistant
PA60499313
WA
Other
Enumeration date
03/31/2006
Last updated
08/05/2024
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