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Natasha Balcom

Specialist/Technologist, Athletic Trainer in Pueblo, CO. Individual provider (NPI-1).

NPI number1124530555
StatusActive
Last updated in NPPESOct 25, 2017

Details

NPI
1124530555
Entity type
Individual (NPI-1)
Name
Natasha Balcom
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 25, 2017
Last updated
Oct 25, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2200 Bonforte Blvd
Pueblo, CO 81001-4901

Phone 719-338-8035

Mailing address

647 Trailcrest Ct
Colorado Springs, CO 80906-4938

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