# RIVAL YOUTH SPORTS & TRAINING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154068054
- **Authorized official:** MISS SHANEKA SONNIER (FOUNDER/DELEGATE)
- **Authorized official phone:** (720) 982-0337

## Contact information

- **Practice address:** 17340 E DORADO DR, CENTENNIAL, CO 80015-3030
- **Practice address phone:** (720) 982-0337
- **Mailing address:** 17340 E DORADO DR, CENTENNIAL, CO 80015-3030
- **Mailing address phone:** (720) 982-0337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |
| 225400000X | Rehabilitation Practitioner | — | NULL | — |
| 225400000X | Rehabilitation Practitioner | — | — | — |
| 225800000X | Recreation Therapist | — | NULL | — |
| 225800000X | Recreation Therapist | — | — | — |
| 405300000X | Prevention Professional | — | NULL | — |
| 405300000X | Prevention Professional | — | — | — |

## Other

- **Enumeration date:** 05/13/2022
- **Last updated:** 05/13/2022