Lilie Carr, ATC
Individual provider Active NPI Athletic Trainer · Grayling, MI
NPI 1508538927 · NPPES record last updated Jun 11, 2023
Key facts
- NPI
- 1508538927
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2601002672 (MI)
- Practice address
- 114 Alexia LN
Grayling, MI 49738-8651 - Phone
- (989) 858-5748
- NPI assigned
- Oct 4, 2021
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601002672 | MI | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601002672 | MI | Yes |
Addresses
Primary practice location
114 Alexia LN
Grayling, MI 49738-8651
Mailing address
114 Alexia LN
Grayling, MI 49738-8651
Other providers in Grayling, MI
- Morgan Buscher
- Nicole Susanne Cameron
- Cindy Campos
- Nelson Cannon
- Katherine Carlson
- Michael Carter
- Amanda Clements
- Rebecca Clementshaw
- Sarah Lynn Coleman
- China Rose Collison
All providers in Grayling, 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 Jun 11, 2023. 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.