Individual
ANDREW GODINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
4901 NELSON RD, LONGMONT, CO 80503-6001
(603) 247-8554
Mailing address
34 REDFIELD CIR, DERRY, NH 03038-4839
(603) 247-8554
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0002051
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
12/04/2014
Last updated
11/24/2021
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