Kaitlyn Therese Archibeque
Individual provider Active NPI Athletic Trainer · Algodones, NM
NPI 1750837332 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1750837332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1370A Hwy 313
Algodones, NM 87001 - Phone
- (505) 414-4565
- NPI assigned
- Sep 1, 2016
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
1370A Hwy 313
Algodones, NM 87001
Mailing address
P.O. Box 716
Algodones, NM 87001
Phone (505) 414-4565
Other providers in Algodones, NM
- Audrina Melissa Abeyta
- Bernice Faye Chavez
- Sierra Chavez
- Sydney Cassandra Chavez
- Jodi L. D'Avignon
- Cristin Deuble
All providers in Algodones, NM · Athletic Trainer in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. 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.