Unknown Individual – Athletic Trainer, NPI 1902872286
Athletic Trainer
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5208, Black Coral Avenue, Las Vegas, Clark County, Nevada, 89131, United States
LAS VEGAS, NV 891311020
Phone: (702) 655-0605
Type: Mailing
980, Kelly Johnson Drive, Paradise, Clark County, Nevada, 89119, United States
LAS VEGAS, NV 891193785
Phone: (702) 265-9811
Type: Location
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 89131)
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