John Arnold

Individual provider Active NPI Athletic Trainer · Las Vegas, NM

NPI 1376294173 · NPPES record last updated Jan 12, 2022

Key facts

NPI
1376294173
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
1120 8TH St
Las Vegas, NM 87701-4218
Phone
(505) 225-4023
NPI assigned
Jan 12, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

1120 8TH St
Las Vegas, NM 87701-4218

Mailing address

1120 8TH St
Las Vegas, NM 87701-4218
Phone (505) 225-4023

Other providers in Las Vegas, NM

All providers in Las Vegas, NM · Athletic Trainer in New Mexico

Sources for this page

Verify at the official NPI Registry.