Individual
DEVIN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSC, ATC
Contact information
Practice address
2900 CASCADE AVE, PUEBLO, CO 81008-1240
(719) 569-0237
Mailing address
2900 CASCADE AVE, PUEBLO, CO 81008-1240
(719) 569-0237
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001207
CO
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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