Justin Marley, LAT, ATC

Individual provider Active NPI Athletic Trainer · Robbins, NC

NPI 1114600251 · NPPES record last updated Aug 7, 2023

Key facts

NPI
1114600251
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
LAT-2902 (NC)
Practice address
1504 North Moore Rd
Robbins, NC 27325
Phone
(910) 464-3105
NPI assigned
Aug 7, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LAT-2902NCMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X LAT-2902 NC Yes

Addresses

Primary practice location

1504 North Moore Rd
Robbins, NC 27325

Mailing address

1504 N Moore Rd
Robbins, NC 27325-8259

Other providers in Robbins, NC

All providers in Robbins, NC · Athletic Trainer in North Carolina

Sources for this page

Verify at the official NPI Registry.