Camille Rivera, ATC,LAT
NPI #1629436605 in Taos, New Mexico
Provider Information
- NPI Number
- 1629436605
- Entity Type
- Individual
- Name
- Camille Rivera, ATC,LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC,LAT
- Enumeration Date
- Feb 4, 2016
- Last Updated
- Feb 4, 2016
Practice Location
- Address
- 1398 WEIMER RD
- Address 2
- SUITE 203
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571-6397
- Phone
- (575) 737-0304
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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