Unknown Individual – Athletic Trainer, NPI 1790742393
Athletic Trainer
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
University Avenue, Las Vegas Town, Las Vegas, San Miguel County, New Mexico, 87701, United States
LAS VEGAS, NV 891215138
Phone: (702) 458-8499
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89121)
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