CARLY REILLY


Address: 843 S Lincoln St, Salt Lake City, UT 84102-3612
Phone: 8318184183

CARLY REILLY (NPI# 1174186977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174186977
Entity Type Individual
Full Name CARLY REILLY
Credential LAT, ATC
Practice Address 843 S Lincoln St
Salt Lake City
UT 84102-3612
Practice Telephone 8318184183
Mailing Telephone 8318184183
Enumeration Date 2019-04-17
Last Update Date 2019-04-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
10444837-4810 UT Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 843 S LINCOLN ST
City SALT LAKE CITY
State UT
Zip Code 84102-3612

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1508419581 Claire Pemberton Behavior Technician 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 2019-07-19
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1649741802 Colten Vancampen Behavior Technician 515 S 700 E #2a, Salt Lake City, UT 84102 2018-12-16
1457847964 Utah Podiatry Group PC Podiatrist 24 S 1100 E Ste 120, Salt Lake City, UT 84102 2018-07-09
1104311661 Malorey Kooyman Behavior Technician 515 700 East, Suite 2a, Salt Lake City, UT 84102 2018-06-27
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780202978 Katie Marie Plyer Specialist/Technologist 1860 E 250 S, Salt Lake City, UT 84112-4531 2020-07-14
1932727724 Jose Luis Sandoval De Leon Specialist/Technologist 260 S 1850 E Rm 208, Salt Lake City, UT 84112-0910 2020-07-08
1629695929 John Randall Woodworth Specialist/Technologist 383 S Colorow Dr Rm 392, Salt Lake City, UT 84108-1245 2020-07-02
1114548310 Sarah Elizabeth Christensen Specialist/Technologist 1215 N 2200 W, Salt Lake City, UT 84116-4128 2020-04-29
1174167035 Nicole Schonrock Specialist/Technologist 3584 E Kings Hill Cir, Salt Lake City, UT 84121-6009 2019-11-04
1083177505 Vitor Gabriel Giuliani Alcantara Carioca Specialist/Technologist 1850 South Campus Drive, Salt Lake City, UT 84115 2019-04-11
1407313224 Elenore Reid Specialist/Technologist 48 S 1300 E, Salt Lake City, UT 84102-1730 2019-02-28
1205306248 Eric Raustein Specialist/Technologist 650 S 1100 E, Salt Lake City, UT 84102-3902 2018-12-03
1245723931 Clinton James Bowser Specialist/Technologist 255 N 400 W Apt 5, Salt Lake City, UT 84103-1233 2018-06-07
1760998546 Nixon Dorvilien Specialist/Technologist 1420 S 500 W, Salt Lake City, UT 84115-5149 2017-12-16
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Competitor

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City SALT LAKE CITY
Zip Code 84102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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