NPI 1003615600

Isiah Jordan Chavez

Practitioner Athletic Trainer Phoenix, AZ

Practice location

Address: 814 E Roma Ave, Phoenix, AZ 85014-4107
Phone: (505) 803-7271

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1003615600
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Mar 2025
Record last updated: 7 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.