NPI 1124530555
Natasha Balcom
Practice location
- Address
- 2200 Bonforte Blvd, Pueblo, CO 81001-4901
- Phone
- (719) 338-8035
- Mailing address
- 647 Trailcrest CT, Colorado Springs, CO 80906-4938
Registered specialties (2)
Athletic Trainer
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1124530555
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Oct 2017
- Record last updated
- 25 Oct 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.