IndividualActive
Carole Rider
NPI 1700282860 · Athletic Trainer · Brookhaven, MS
Provider details
- NPI number
- 1700282860
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- ATO457 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
418 W Minnesota St
Brookhaven, MS 39601-3764
Phone: (601) 669-1995
Approximate (ZIP-level) locationGet directions
Mailing address
418 W Minnesota St
Brookhaven, MS 39601-3764
Registry dates
- Enumerated
- 2014-11-17
- Last updated
- 2014-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.