Koby Crit Caton, MAT, ATC, LAT, CAFS
Individual provider Active NPI Athletic Trainer · Artesia, NM
NPI 1982064465 · NPPES record last updated Oct 13, 2022
Key facts
- NPI
- 1982064465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT709 (NM)
- Practice address
- 301 Bulldog Blvd
Artesia, NM 88210-1731 - Phone
- (575) 513-5081
- NPI assigned
- Feb 26, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| AT709 | NM | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Artesia Public Schools | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT709 | NM | Yes |
Addresses
Primary practice location
301 Bulldog Blvd
Artesia, NM 88210-1731
Mailing address
301 Bulldog Blvd
Artesia, NM 88210-1731
Other providers in Artesia, NM
- Eva L Cabezuela
- Tammy Cagle
- Susan Irene Caley
- Miranda Ann Carlile
- John Castle
- Veronica Chavira
- Horim Choi
- Tuangratch Chow
- Amy Christiansen
- Andrea Michelle Ciro
All providers in Artesia, 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 Oct 13, 2022. 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.