Teresa Ann Bernhard
Individual provider Active NPI Athletic Trainer · Salida, CO
NPI 1740847367 · NPPES record last updated May 20, 2019
Key facts
- NPI
- 1740847367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT.0001931 (CO)
- Practice address
- 1000 Rush Dr
Salida, CO 81201-9627 - Phone
- (719) 530-2020
- NPI assigned
- May 20, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT.0001931 | CO | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT.0001931 | CO | Yes |
Addresses
Primary practice location
1000 Rush Dr
Salida, CO 81201-9627
Mailing address
308 S Redlands Rd
Grand Junction, CO 81507-1754
Phone (719) 221-5582
Other providers in Salida, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.