IndividualActive
Charlie Hamilton, MA, ATC, LAT
NPI 1558374256 · Athletic Trainer · Carlsbad, NM
Provider details
- NPI number
- 1558374256
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MA, ATC, LAT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 128 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3000 W Church St
Carlsbad High School
Carlsbad, NM 88220
Phone: (505) 302-8202
Fax: (505) 234-3399
Approximate (ZIP-level) locationGet directions
Mailing address
312 N 11th St
Carlsbad, NM 88220-3034
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2007-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.