IndividualActive
Karis Prusak, ATC, LAT
NPI 1205202181 · Athletic Trainer · Sheridan, WY
Provider details
- NPI number
- 1205202181
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 56 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
135 N Gould St
Sheridan, WY 82801-3927
Phone: (307) 674-1634
Approximate (ZIP-level) locationGet directions
Mailing address
135 N Gould St
Sheridan, WY 82801-3927
Registry dates
- Enumerated
- 2015-08-14
- Last updated
- 2015-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.