NPI 1639958077

Yesenia a Martin, ATC

Practitioner Athletic Trainer Portales, NM

Practice location

Address: 1500 S Avenue K, Portales, NM 88130-7400
Phone: (671) 988-4955
Mailing address: PO Box 4630, Yigo, GU 96929-4630

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT22009 (NM)

Other Specialist/Technologist providers in New Mexico →

Registry record

NPI: 1639958077
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2023
Record last updated: 25 Sep 2023

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.