MEDICARE: CHRISTOPHER MICHAEL CARRIER PA ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	001196	NY
2	363A00000X	Physician Assistant	C5-000679	DE
3	363A00000X	Physician Assistant	C03530	MD
4	363AM0700X	Medical Physician Assistant	MA057347	PA

General Provider Information

NPI Number	:	1477691582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER MICHAEL CARRIER PA ATC

Provider Business Mailing Address
First Line	:	51 PETERS RD
Second Line	:
City	:	LITITZ
State	:	PA
Zip	:	17543-7685
Country	:	US
Telephone Number	:	717-627-7675
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 PETERS RD STE 200
Second Line	:
City	:	LITITZ
State	:	PA
Zip	:	17543-7685
Country	:	US
Telephone Number	:	717-627-7675
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	10/07/2025

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