Roberto Chavez Jr., ATC
Specialist/Technologist, Athletic Trainer in Denver, CO. Individual provider (NPI-1).
NPI number1114448693
StatusActive
Last updated in NPPESJul 5, 2017
Details
- NPI
- 1114448693
- Entity type
- Individual (NPI-1)
- Name
- Roberto Chavez Jr.
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2017
- Last updated
- Jul 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | CO | Yes |
Practice location
5548 Blackhawk WayDenver, CO 80239-3745
Phone 720-345-8594
Mailing address
5548 Blackhawk WayDenver, CO 80239-3745
Phone 720-224-3531
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