MS. Revae Rivera, ATC, LAT
NPI #1669846549 in Crystal City, Texas
Provider Information
- NPI Number
- 1669846549
- Entity Type
- Individual
- Name
- MS. Revae Rivera, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Nov 16, 2015
- Last Updated
- Jan 18, 2021
Practice Location
- Address
- 805 E CROCKETT ST
- City
- Crystal City
- State
- Texas
- ZIP Code
- 78839-2711
- Phone
- (830) 374-2341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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