Organization
RIVAL YOUTH SPORTS & TRAINING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHANEKA SONNIER (FOUNDER/DELEGATE)
(720) 982-0337
Entity
Organization
Contact information
Practice address
17340 E DORADO DR, CENTENNIAL, CO 80015-3030
(720) 982-0337
Mailing address
17340 E DORADO DR, CENTENNIAL, CO 80015-3030
(720) 982-0337
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
225800000X
Recreation Therapist
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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