Individual provider · NPI-1

Elizabeth Amira Barsoom, MA, LAT, ATC

Specialist/Technologist, Athletic Trainer · Denver, CO

NPI number1508518770
StatusActive
Last updated in NPPESFeb 8, 2024

Details

NPI
1508518770
Entity type
Individual (NPI-1)
Name
Elizabeth Amira Barsoom
Credential
MA, LAT, ATC
Sex
Female
Sole proprietor
No
Enumeration date
Jan 19, 2022
Certification date
May 24, 2023
Last updated
Feb 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer0002615COYes

Practice location

3601 S Lowell Blvd
Denver, CO 80236-3001

Phone 303-761-1764

Mailing address

2830 W Centennial Dr Unit L
Littleton, CO 80123-8550

Phone 402-213-2031

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