Individual
REBECCA AILEEN GARDENHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 NORTH AVE, GRAND JUNCTION, CO 81501-3122
(970) 248-1203
(970) 248-1291
Mailing address
1100 NORTH AVE, GRAND JUNCTION, CO 81501-3122
(970) 248-1203
(970) 248-1291
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001590
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000013844
NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION
—
Enumeration date
07/08/2022
Last updated
07/08/2022
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