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CARLY J WILSON MS, LAT, ATC
NPI 1205326642
Specialist/Technologist - Athletic Trainer in Boise, ID

Active since May 10, 2018
1109 W MYRTLE ST STE 200, BOISE, ID 83702(208) 489-4300 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2021, Jul 22, 2019, May 10, 2018 (3 updates tracked since 2018).

About Carly J Wilson Ms, Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY J WILSON MS, LAT, ATC (NPI 1205326642) is an individual athletic trainer provider in Boise, Idaho and active in the NPI registry since May 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205326642
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameCARLY J WILSONCredential: MS, LAT, ATC
Location Address1109 W MYRTLE ST STE 200Boise, ID 83702-6975
Mailing Address1051 Southern Dr Unit 2108Columbia, SC 29201-5608
Phone(208) 489-4300
Sole ProprietorNo
Enumeration DateMay 10, 2018
Last NPPES UpdateSeptember 9, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2021
✔ NPI 1205326642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1109 W MYRTLE ST STE 200, Boise, ID 83702
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Secondary Practice Locations 2

Location 1Blatt Pe Center - Exercise Science 1300 Wheat StreetColumbia, SC 29208-1121 · Phone (803) 777-0636
Location 22000 Observatory DrMadison, WI 53706-1121 · Phone (608) 262-3742

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRISTINA MEDRANO-ENRIQUEZ
Counselor (Professional)
1109 W MYRTLE ST STE 200
BOISE, ID 83702
Ada County (208) 706-6375
HANNAH HOWELL
Physical Therapist
1109 W MYRTLE ST STE 200
BOISE, ID 83702
Ada County (208) 706-2663
SCOTT STANTLIFF LCPC
Counselor (Professional)
1109 W MYRTLE ST STE 200
BOISE, ID 83702
Ada County (208) 706-6375
DR. MARIO A CAMPOS M.D.
Psychiatry & Neurology (Psychiatry)
1109 W MYRTLE ST STE 200
BOISE, ID 83702
Ada County (208) 706-6375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Wilson's NPI number?

The NPI number for Carly Wilson is 1205326642. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Where is Carly Wilson located?

Carly Wilson practices at 1109 W Myrtle St Ste 200, Boise, ID 83702. The listed phone number is (208) 489-4300.

What is Carly Wilson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Carly Wilson was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.