Individual
ANDY SCOTT KRENTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1708 FOSTER RD, LAS CRUCES, NM 88001-4320
(505) 640-7159
Mailing address
1708 FOSTER RD, LAS CRUCES, NM 88001-4320
(505) 640-7159
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
349
NM
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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