Individual
KEVIN MAYEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
1610 DRY CREEK DR STE 200, LONGMONT, CO 80503-6405
(303) 772-1600
(720) 494-3247
Mailing address
316 54TH AVE, GREELEY, CO 80634-4207
(970) 590-5590
(720) 494-3247
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
02/04/2021
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