Individual provider · NPI-1

Sam Garrett Arredondo, ATC

Specialist/Technologist, Athletic Trainer · Las Cruces, NM

NPI number1598119752
StatusActive
Last updated in NPPESApr 14, 2016

Details

NPI
1598119752
Entity type
Individual (NPI-1)
Name
Sam Garrett Arredondo
Credential
ATC
Sex
Male
Sole proprietor
No
Enumeration date
Apr 14, 2016
Last updated
Apr 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer659NMYes

Practice location

1815 Wells St
Las Cruces, NM 88003-1304

Phone 575-646-6064

Mailing address

2775 N Roadrunner Pkwy
#3202
Las Cruces, NM 88011-8112

Phone 559-679-7510

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