Carson Lane Powell, ATC, LAT

Athletic Trainer · Tyler, TX

Individual Active NPI

NPI number 1659890259

Practice location

3001 University Blvd
Tyler, TX 75701-7457
Phone
(417) 540-8634

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NPI record

NPI
1659890259
Entity type
Individual (Type 1)
Enumeration date
September 14, 2017
Last updated
September 14, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT6747 TX

Mailing address

3202 Shenandoah Dr
Tyler, TX 75701-7449
Phone
(417) 540-8634

About Carson Powell

Carson Lane Powell, ATC, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 3001 University Blvd, Tyler, TX 75701-7457. The NPI number 1659890259 was assigned on September 14, 2017 and the record was last updated on September 14, 2017.

Carson Powell lists a license in the registry: #AT6747 (TX) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Carson Lane Powell, ATC, LAT?

The NPI number is 1659890259.

What is the phone number of Carson Powell?

The phone number listed for the practice location is (417) 540-8634.

Where is Carson Powell located?

3001 University Blvd, Tyler, TX 75701-7457.

What is the taxonomy code for Carson Powell?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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