Carrie Odetta Graham, MA.ATC
Individual provider Active NPI Athletic Trainer · Storrs, CT
NPI 1972533255 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1972533255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- University of Connecticut - Kinesiology
2095 Hillside Road , Unit 1110
Storrs, CT 06269-1110 - Phone
- (860) 486-1118
- Fax
- (860) 486-1123
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | CT | Yes |
Addresses
Primary practice location
University of Connecticut - Kinesiology
2095 Hillside Road , Unit 1110
Storrs, CT 06269-1110
Mailing address
University of Connecticut - Kinesiology
2095 Hillside Road , Unit 1110
Storrs, CT 06269-1110
Phone (860) 486-1118
Other providers in Storrs, CT
- McKenzie Gallasso
- Madison Grace Gaul
- Steven Taylor Gerhart
- Jennifer Ellis Girotto
- Susan Glenney
- Jonathan Matthew Gulish
- Sharon Denise Gustave
- Andrea M Gutierrez
- Jaren Haddock
- Christopher Mathew Hagemann
All providers in Storrs, CT · Athletic Trainer in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.