NPI 1043609753

Lowell Montana Bencomo, ATC

Practitioner Athletic Trainer Las Cruces, NM

Practice location

Address: 2404 S Locust St STE 5, Las Cruces, NM 88001-5789
Phone: (575) 521-4188

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 697 (NM)

Other Specialist/Technologist providers in New Mexico →

Registry record

NPI: 1043609753
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2015
Record last updated: 6 Mar 2017

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.