NPI 1013671874

Ivan Jimenez

Practitioner Athletic Trainer Pueblo, CO

Practice location

Address: 1817 Yakima Ln, Pueblo, CO 81001-1513
Phone: (719) 243-6300

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in Colorado →

Registry record

NPI: 1013671874
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2021
Record last updated: 27 Oct 2021

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.