NPI 1164727632

Donald Jason Martinez, ATC

Practitioner Athletic Trainer Laramie, WY

Practice location

Address: 1000 E University Ave Department 3414, Laramie, WY 82071-2000
Phone: (307) 766-5052
Mailing address: 1000 East University Avenue Department 3414, Laramie, WY 82071

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 24 (WY)

Other Specialist/Technologist providers in Wyoming →

Registry record

NPI: 1164727632
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jan 2011
Record last updated: 14 Jan 2011

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.