NPI 1164604690

Theresa Marie Renner, ATC

Practitioner Athletic Trainer Alamosa, CO

Practice location

Address: 208 Edgemont Blvd Plachy Hall - Athletic Training, Alamosa, CO 81102-0001
Phone: (719) 587-7431
Mailing address: 1125 4th St, Alamosa, CO 81101-2413

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in Colorado →

Registry record

NPI: 1164604690
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Nov 2007
Record last updated: 27 Nov 2007

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.