NPI 1043691835

Zachary Olivarez

Practitioner Athletic Trainer Riverton, WY

Practice location

Address: 2002 W Sunset Dr Suite 1, Riverton, WY 82501-2283
Phone: (307) 856-7021
Fax: (307) 856-5546
Mailing address: 1102 West Spruce Street, Rawlins, WY 82301-4850

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence ATC-097 (WY)

Other Specialist/Technologist providers in Wyoming →

Registry record

NPI: 1043691835
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2015
Record last updated: 17 Jun 2015

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.