Ryan Blake Pridemore, LAT, ATC
NPI #1033895602 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1033895602
- Entity Type
- Individual
- Name
- Ryan Blake Pridemore, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Jun 27, 2023
- Last Updated
- Jun 10, 2025
Practice Location
- Address
- 5700 MESA GRANDE DR
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-6017
- Phone
- (423) 312-1031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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