Individual provider · NPI-1

Erica Michelle Capehart, LAT, ATC

Specialist/Technologist, Athletic Trainer · Henderson, NV

NPI number1700301900
StatusActive
Last updated in NPPESFeb 14, 2022

Details

NPI
1700301900
Entity type
Individual (NPI-1)
Name
Erica Michelle Capehart
Credential
LAT, ATC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 8, 2017
Certification date
Feb 14, 2022
Last updated
Feb 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer0506497NVYes

Practice location

700 College Dr # B138
Henderson, NV 89002-8419

Phone 702-651-3553

Mailing address

1915 Cutlass Dr
Henderson, NV 89014-2024

Phone 702-461-7463

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