NPI 1013377316

Ricardo Moreno, MSATCCSCS

Practitioner Athletic Trainer Mesa, AZ

Practice location

Address: 7110 E McKellips Rd, Mesa, AZ 85207-1908
Phone: (480) 654-7726
Mailing address: 1090 N Nantucket CT, Chandler, AZ 85225-1579

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0281 (AZ)

Other Specialist/Technologist providers in Arizona →

Registry record

NPI: 1013377316
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Feb 2016
Record last updated: 29 Feb 2016

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.