Mary Elizabeth Carrothers
Individual provider Active NPI Athletic Trainer · Woodhaven, MI
NPI 1346719481 · NPPES record last updated Nov 19, 2018
Key facts
- NPI
- 1346719481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 21953 Hall Rd
Woodhaven, MI 48183-1517 - Phone
- (616) 427-7389
- NPI assigned
- Nov 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
21953 Hall Rd
Woodhaven, MI 48183-1517
Mailing address
21953 Hall Rd
Woodhaven, MI 48183-1517
Phone (616) 427-7389
Other providers in Woodhaven, MI
- Angela Burley
- Damon A Busby
- Catherine Ann Campbell
- Careguard Home Safety LLC
- Carolin Ibrahim DDS MSD PLLC
- Mary Michelle Cassette
- Catherine Campbell, LMSW, PLLC
- Chiagozie Chinemelu
- Isabel Rose Chism
- Saim Sattar Choudhry
All providers in Woodhaven, MI · Athletic Trainer in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.