NPI 1689601924

Lisa Ellen Sandoval, ATC

Practitioner Athletic Trainer Roswell, NM

Practice location

Address: 500 W Hobbs St, Roswell, NM 88203-1834
Phone: (505) 637-3200
Mailing address: 2803 Purdue Dr, Roswell, NM 88203-2375

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 186 (NM)

Other Specialist/Technologist providers in New Mexico →

Registry record

NPI: 1689601924
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2006
Record last updated: 8 Jul 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.