IndividualActive
Antonio Carrasco, CSCS
NPI 1568936243 · Athletic Trainer · Phoenix, AZ
Provider details
- NPI number
- 1568936243
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CSCS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5327 W Edgemont Ave
Phoenix, AZ 85035-1917
Phone: (623) 313-8793
Approximate (ZIP-level) locationGet directions
Mailing address
5327 W Edgemont Ave
Phoenix, AZ 85035-1917
Registry dates
- Enumerated
- 2019-01-16
- Last updated
- 2019-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.