Provider Demographics
NPI:1861763765
Name:CARLSON, ERIN ANN AINSLIE (MS, ATC, LAT)
Entity type:Individual
Prefix:
First Name:ERIN ANN
Middle Name:AINSLIE
Last Name:CARLSON
Suffix:
Gender:F
Credentials:MS, ATC, LAT
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4400 GOLF ACRES DR
Mailing Address - Street 2:CMC SPORTS MEDICINE
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-5990
Mailing Address - Country:US
Mailing Address - Phone:704-774-7412
Mailing Address - Fax:980-343-1767
Practice Address - Street 1:4400 GOLF ACRES DR
Practice Address - Street 2:CMC SPORTS MEDICINE
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5990
Practice Address - Country:US
Practice Address - Phone:704-774-7412
Practice Address - Fax:980-343-1767
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC18982255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC22OtherRESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS